宫腔镜刨削系统与宫腔镜电切术治疗子宫内膜息肉患者的效果比较

Comparison of effects of hysteroscopic tissue removal system and hysteroscopic electric resection on patients with endometrial polyps

目的:比较宫腔镜刨削系统与宫腔镜电切术治疗子宫内膜息肉患者的效果。方法:选取2021年3月至2023年1月该院收治的80例子宫内膜息肉患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各40例。研究组采用宫腔镜刨削系统治疗,对照组采用宫腔镜电切术治疗,两组术后均随访6个月。比较两组临床疗效、围术期指标(术中出血量、手术时间和住院时间)水平、手术前后子宫内膜厚度、并发症发生率和复发率。结果:研究组治疗总有效率为92.50%(37/40),高于对照组的75.00%(30/40),差异有统计学意义(P<0.05);研究组术中出血量少于对照组,手术时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后1、6个月,两组子宫内膜厚度均小于术前,但研究组大于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为5.00%(2/40),低于对照组的22.50%(9/40),差异有统计学意义(P<0.05);研究组复发率为5.00%(2/40),低于对照组的20.00%(8/40),差异有统计学意义(P<0.05)。结论:宫腔镜刨削系统治疗子宫内膜息肉患者可提高治疗总有效率,改善围术期指标水平,保护子宫内膜,降低并发症发生率和复发率,效果优于宫腔镜电切术治疗。

Objective:To compare effects of hysteroscopic tissue removal system and hysteroscopic electric resection on patients with endometrial polyps.Methods:A prospective study was conducted on 80 patients with endometrial polyps admitted to this hospital from March 2021 to January 2023.They were divided into study group and control group according to the random number table method,40 cases in each.The study group was treated with hysteroscopic tissue removal system,while the control group was treated with hysteroscopic electric resection.Both groups were followed up for 6 months.The clinical efficacy,the perioperative indexes(intraoperative blood loss,operation time and hospitalization time),the endometrial thickness before and after the surgery,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The total effective rate of the study group was 92.50%(37/40),which was higher than 75.00%(30/40)of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the study group was less than that in the control group,the operation time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).1 and 6 months after the surgery,the endometrial thickness of the two groups were smaller than those before the surgery,but those of the study group were larger than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 5.00%(2/40),which was lower than 22.50%(9/40)in the control group,and the difference was statistically significant(P<0.05).Further,the recurrence rate of the study group was 5.00%(2/40),which was lower than 20.00%(8/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Hysteroscopic tissue removal system can improve the total effective rate of treatment,improve the levels of perioperative indexes,protect the endometrium,and reduce the incidence of complications and the recurrence rate in the patients with endometrial polyps.Moreover,it is superior to hysteroscopic electric resection.