宫腔镜下子宫内膜电切联合刮宫术治疗多发性子宫内膜息肉的效果观察

Effective observation of hysteroscopic endometrial polypectomy combined with dilatation and curettage to treat multiple endometrial polyp

目的观察宫腔镜下子宫内膜电切术联合刮宫术(dilatation and curettage,D&C)治疗多发性子宫内膜息肉(endometrial polyp,EMP)的效果。方法回顾性分析清远市人民医院2008～2010年间98例异常子宫出血(abnormal uterine bleeding,AUB)经B超联合宫腔镜检查诊断为多发性子宫内膜息肉患者的临床治疗资料,其中50例采用宫腔镜下子宫内膜息肉电切联合刮宫术(A组);48例单纯行宫腔镜下子宫内膜息肉电切术(B组)。结果手术时间A组平均(20.05±0.42)min,B组平均(18.20±0.35)min,出血量A组平均(32.05±0.61)ml,B组平均(30.10±0.52)ml,1年内息肉复发率A组为2.0%(1/50),B组为4.17%(2/48),以上各项两组比较,差异均无统计学意义(P>0.05);1年内异常子宫出血复发率A组为2.0%(1/50);B组为10.42%(5/48);两组比较差异有统计学意义(P<0.05)。结论宫腔镜下多发性子宫内膜息肉电切术联合刮宫术安全有效,更能降低术后异常子宫出血复发率。

objective to observe the curative effect of hysteroscopic endometrial polypectomy combined with dilatation and curettage （D＆C） on multiple endometrial polyp （EMP）. Methods Clinical data of 98 patients with abnormal uterine bleeding （AUB） diagnosed as multiple EMP by ultrasound examination and hysteroscopy from the year 2008 to 2010 in Qingyuan the People＇ s Hospital were retrospectively analyzed. 50 eases were received the treatment of hysteroscopic endometrial polypectomy combined with D＆C （group A）; 48 cases were received the treatment of hysteroscopic endometrial polypectomy only （ group B）. Results the average operation time of group A was （20.05 ±0.42） rain, group B was （18.20 ±0.35） min; the average amount of bleeding of group A was （ 32.05 ± 0.61 ） ml, group B was （ 30. 10 ± 0. 52） ml; polyp relapse rate within one year of group A was 2. 0% （ 1 / 50）, group B was 4. 17% （2/48） ; all the above comparison between two groups had no significant difference （P 〉 0. 05 ）. AUB relapse rate within one year of group A was 2. 0% （1/50） ; group B was 10. 42% （ 5/48 ） ; and the difference was significant （ P 〈 0. 05 ）. Conclusion The treatment of hysteroscopic endometrial poIypectomy combined with D＆C for multiple EMP is safe and effective, and it can reduce the relapse rate of postoperative AUB.