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目的对比分析子宫纵隔行超声监护下宫腔镜微剪法与电切割法的不同效果。方法 100例子宫纵隔患者,随机分为对照组和观察组,各50例。观察组行超声监护下电切割法治疗,对照组行超声监护下宫腔镜微剪法治疗。对比两组患者的手术成功率、妊娠成功率、手术时间及膨宫液的吸收量。结果观察组患者的手术成功率(100%)高于对照组(90%),差异具有统计学意义(P<0.05)。观察组患者的妊娠成功率为86%,对照组为84%,比较差异无统计学意义(P>0.05)。观察组患者的手术时间短于对照组,膨宫液吸收量少于对照组,差异均具有统计学意义(P<0.05)。结论子宫纵隔行超声监护下电切割法治疗,不仅有着较好的手术成功率,同时手术时间较短,膨宫液吸收量少,宫腔镜微剪法和电切割法均有着较好的妊娠结果 ,值得临床推广应用。
Objective To compare and analyze the different effects of hysteroscopic micro-shearing and electric cutting under ultrasound monitoring of uterine mediastinal line. Methods 100 cases of uterine mediastinal patients were randomly divided into control group and observation group, 50 cases each. The observation group underwent ultrasonographic monitoring with electrosurgical excision, and the control group underwent hysteroscopic microsurgical treatment under ultrasound guidance. The success rate of surgery, pregnancy success rate, operation time and the amount of uterine fluid absorption were compared between the two groups. Results The success rate (100%) of observation group was higher than that of control group (90%), the difference was statistically significant (P <0.05). The success rate of pregnancy in the observation group was 86% and that in the control group was 84%, with no significant difference (P> 0.05). The operation time of observation group was shorter than that of control group, and the absorption of uterine fluid was less than that of control group. The differences were statistically significant (P <0.05). Conclusion Ultrasound under the supervision of the uterine segment under the electric cutting method of treatment, not only has a good success rate of surgery, at the same time shorter operative time, less absorption of uterine fluid, hysteroscopic micro-shearing and electric cutting method has a good pregnancy The result is worthy of clinical promotion and application.