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

Comparison of curative effect of hysteroscopic electric resection and dilation and curettage in infertility patients with endometrial polyps

目的探讨宫腔镜下电切除术与刮宫术治疗子宫内膜息肉不孕的疗效。方法对该院2007年1月～2008年12月分别采取两种不同手术方法治疗子宫内膜息肉不孕患者的临床资料进行回顾性分析。结果刮宫术组平均手术时间、术中出血量及住院天数与电切术组比较差异均无显著性(P>0.05);刮宫术组术后3、6和12个月月经量均明显多于电切术组,差异均有显著性(P<0.01);术后1年内刮宫术组复发率明显高于电切术组(P<0.01),妊娠率与电切术组相比,差异无显著性(P>0.05);两组均未有并发症发生。结论宫腔镜下电切除术子宫内膜息肉治疗彻底,复发率低,可作为治疗子宫内膜息肉不孕的首选方法 ,值得临床推广应用。

[Objective]To investigate the curative effect of hysteroscopic electric resection and dilatation and curettage in infertility patients with endometrial polyps.[Methods]Retrospective analysis of the data of infertility patients between January 2007 and December 2008 by two different therapeutic strategies to endometrial polyps.[Results]The average operation time, the amount of blood loss in operation and hospital day were not significant between dilatation and curettage group and the electroresection group （P 0.05）. Menstruation after 3 months, 6 months, 12 months period in dilatation and curettage group was significantly more than that in the electroresection group （P 0.01）. Recurrence rate in 1 year after operation of dilatation and curettage group was significantly higher than that in the electroresection group （P 0.01）. The pregnancy rate was not significant between dilatation and curettage group and the electroresection group （P 0.05）. No complications were observed in both groups.[Conclusion]The treatment is thorough and recurrence rate is lower by using hysteroscopic resection of endometrial polyps electric, which could be the preferred treatment and be worthy of clinical application.