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目的探讨宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的疗效对比。方法选取本院自2011年10月至2012年10月收治的74例子宫内膜息肉不孕症患者,随机将其分为刮宫术组和电切术组,各37例,对比两组患者术后月经量变化情况、复发率、妊娠率及并发症情况。结果电切术组患者的月经量减少程度明显大于刮宫术组,P<0.05,电切术组患者的复发率为2.7%,刮宫术组患者的复发率为29.7%,电切术组患者的复发率明显小于为刮宫术组,P<0.05,两组患者妊娠率差异无统计学意义,两组患者均没有穿孔、感染、大出血等并发症发生。结论对子宫内膜息肉不孕患者行宫腔镜下电切术治疗有助于患者康复,临床效果显著,值得推广和应用。
Objective To investigate the efficacy of hysteroscopic resection and curettage in the treatment of endometrial polyps infertility patients. Methods Totally 74 patients with endometrial polyps infertility treated in our hospital from October 2011 to October 2012 were randomly divided into curettage group and resection group, 37 cases in each group After menstrual flow changes, recurrence rate, pregnancy rate and complications. Results The reduction of menstrual flow in the resection group was significantly greater than that in the curettage group, P <0.05. The recurrence rate was 2.7% in the resection group and 29.7% in the curettage group. The patients in the resection group The recurrence rate was significantly lower than that of curettage group, P <0.05. There was no significant difference in pregnancy rate between the two groups. No complications such as perforation, infection and hemorrhage occurred in both groups. Conclusion Hysteroscopic resection of endometrial polyps in patients with infertility is helpful for the rehabilitation of patients, the clinical effect is significant, it is worth promoting and application.