宫腔镜电切术与开腹子宫切除术治疗子宫内良性病变的疗效比较

A comparison between hysteroscopic electroresection and open hysterectomy for intrauterine benign diseases

目的 比较宫腔镜电切术与开腹子宫切除术治疗子宫内良性病变的临床效果。 方法 宫腔镜电切术治疗子宫内良性病变 5 8例为宫腔镜组 ,开腹全子宫切除术 6 0例为对照组 ,对两组手术时间、住院时间、术后恢复工作时间和治愈率进行比较。 结果 对照组手术时间为 ( 6 8 4± 2 0 6 )min ,宫腔镜组为 ( 5 5 2± 19 7)min(t=- 3 5 5 5 ,P =0 0 0 0 ) ;术后住院时间分别为 ( 7 2± 1 8)d ,( 4 5± 1 5 )d (t=- 8 836 ,P =0 0 0 0 ) ;对照组术后恢复工作时间为 ( 6 4 4± 2 5 3)d ,宫腔镜组为 ( 37 2±7 8)d(t=- 7 835 ,P =0 0 0 0 ) ;对照组治愈率为 10 0 % ( 6 0 / 6 0 ) ,宫腔镜组为 94 7% ( 5 4 / 5 7) ( χ2 =1 4 77,P =0 2 2 4 )。 结论 宫腔镜电切术近期效果好 ,术后恢复快 ,在部分病例可替代子宫切除治疗子宫内良性病变。

Objective To compare the clinical effects between hysteroscopic electroresection and open hysterectomy in the treatment of intrauterine benign diseases. Methods A total of 58 women with intrauterine benign received hysteroscopic electroresection (hysteroscopic group) and 60 women underwent open total hysterectomy (control group). The operating time, hospital stay, postoperative recovery and cure rates were compared between the two groups, respectively. Results The operating time was 68.4±20.6 min in control group and 55.2±19.7 min in hysteroscopic group ( t=-3.555, P =0.000). The postoperative hospital stay was 7.2±1.8 d and 4.5±1.5 d in control and hysteroscopic group, respectively ( t=-8.836, P =0.000). The time to resume regular work was 64.4±25.3 d in control group and 37.2±7.8 d in hysteroscopic group ( t=-7.835, P =0.000). The cure rates in control and hysteroscopic group were 100% (60/60) and 94.7% (54/57), respectively ( χ 2 =1.477, P =0.224). Conclusions Hysteroscopic electroresection gives good short-term therapeutic effects and quick postoperative recovery. It may replace hysterectomy in part of patients with intrauterine benign diseases.