宫腔镜下电切除术与刮宫术治疗糖尿病合并子宫内膜息肉疗效对比

Comparison of Curative Effect of Hysteroscopic Resection and Dilatation and Curettage in Treatment of Diabetes and Endometrial Polyp

目的探讨宫腔镜下电切除术与刮宫术治疗糖尿病合并子宫内膜息肉的效果。方法选取该科2014年12月-2016年12月收治的糖尿病合并子宫内膜息肉妇女106例,随机分为两组各53例,观察组采用宫腔镜下电切除术,对照组采用刮宫术,比较效果。结果两组手术时间、出血量、出院时间等比较差异无统计学意义(P>0.05);治疗后观察组月经量(149.8±11.2)m L,复发率为3.8%,明显优于对照组(P<0.05)。结论宫腔镜下电切术治疗糖尿病合并子宫内膜息肉可有效改善月经紊乱,减少息肉复发,值得临床应用。

Objective To study the effect of hysteroscopic resection and dilatation and curettage in treatment of diabetes and endometrial polyp. Methods 106 cases of women with diabetes and endometrial polyp admitted and treated in our hos- pital from December 2014 to December 2016 were selected and randomly divided into two groups with 53 cases in each, the observation group were treated with hysteroscopic resection, while the control group were treated with dilatation and curet- tage, and the effect was compared between the two groups. Results There were no statistical differences in the operation time, bleeding amount and discharge time between the two groups（P〉0.05）, after treatment, the menstrual flow amount and recurrence rate in the observation group were respectively（ 149.8±11.2）mL and 3.8%, which were obviously better than those in the control group（P〈0.05）. Conclusion Hysteroscopic resection in treatment of diabetes and endometrial polyp can effectively improve the menstrual disturbances and reduce the recurrence of polyps, which is worth clinical application.