宫腔镜子宫内膜切除术的临床应用及疗效分析

Clinical application and curative effect analysis of hysteroscopic endometrial ablation

目的:探讨宫腔镜子宫内膜切除术的临床应用及疗效。方法:收治子宫内膜疾病患者200例,随机分为两组。对照组给予传统的开腹治疗,观察组给予宫腔镜子宫内膜切除术,比较两组临床疗效。结果:观察组术中出血量、手术时间、下床活动时间、肛门排气时间明显少于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率、复发率明显低于对照组,差异具有统计学意义(P<0.05)。观察组受孕率明显高于对照组,差异具有统计学意义(P<0.05)。结论:宫腔镜子宫内膜切除术治疗子宫内膜疾病创伤小,远期疗效较好。

Objective：To investigate the clinical application and curative effect of hysteroscopic endometrial ablation.Methods：200 cases of patients with endometrial disease were divided into two groups randomly.The control group was treated with conventional open surgery,and the observation group was treated with hysteroscopic endometrial ablation,the clinical curative effect of the two groups was compared.Results：The intraoperatve bleeding loss,operation time,activity time,anal exhaust time of the observation group were significantly less than those of the control group,and the differences were statistically significant（P〈0.05）. The incidence of complications and recurrence in the observation group were significantly lower than those in the control group, the differences were statistically significant（P〈0.05）.The pregnancy rate of the observation group was significantly higher than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion：Hysteroscopic endometrial ablation in the treatment of endometrial disease had less invasive and better long-term curative effect.