摘要
目的:探讨宫腔镜下子宫内膜息肉电切术(TCRP)与宫腔镜定位下刮除术(HPCP)治疗子宫内膜息肉(EP)临床疗效。方法:对2008年2月至2011年8月行TCRP及HPCP患者152例进行分析,其中行TCRP 67例,行HPCP 85例,比较两种治疗方式术后复发情况,不孕患者妊娠情况及临床症状改善情况,随访6-42个月。结果:两种手术方法均能明显改善临床症状,TCRP术后不孕患者11例,妊娠7例;HPCP术后不孕患者8例,妊娠3例,比较无统计差异(χ2=1.27,P>0.05);TCRP术后复发5例,复发时间(15.6±7.6)月,HPCP术后复发16例,复发时间(7.1±3.3)月,比较均有统计学差异(χ2=4.06,P<0.05;t=3.41,P<0.01)。结论:TCRP术和HPCP术均能明显改善临床症状,采用TCRP术可降低EP复发率,延缓复发时间。
Objective： To explore the clinical efficacy between hysteroscopic resection and curettage in the management of endometrial polyps.Methods： A total of 152 patients with endometrial polyps had received hysteroscopy transcervical resection of polyps（TCRP,n=67） and hysteroscopy positioning curettage of polyps（HPCP,n=85） from February 2008 to August 2011.The incidence of recurrence,infertility,pregnancy,and improvement in clinical symptoms were compared between the two groups.Results： Both groups had improved in clinical symptoms after treatment.There were 11 cases of infertility and 7 cases of pregnancy in TCRP group,while in HPCP group,there were 8 cases of infertility,3 cases of pregnancy,and showed no significant difference（χ2=1.27,P0.05）.Five cases in TCRP group were recurred after a mean time of（15.6±7.6） months,which was significantly different as compared with 16 cases and（7.1±3.3） months respectively in HPCP group（χ2=4.06,P0.05;t=3.41,P0.01）.Conclusion： Both HPCP and TCRP can obviously improve the clinical symptoms,and as compared with HPCP,TCRP is superior in lower recurrence rate and longer recurrence time.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第6期912-914,共3页
Medical Journal of Wuhan University
关键词
子宫内膜息肉
宫腔镜
复发
不孕
Endometrial Polyp
Hysteroscopy
Recurrence
Infertility
