宫腔镜2微米激光气化切除与电切治疗子宫内膜息肉的疗效比较

Comparison of curative effect of hysteroscopic 2μm laser vaporesection and hysteroscopic resection for endometrial polyps

目的:比较宫腔镜2微米激光气化切除与电切治疗子宫内膜息肉疗效性及安全性。方法:回顾性分析2012年10月至2014年8月分别采用宫腔镜下2微米激光切除(观察组)和宫腔镜下电切(对照组)治疗子宫内膜息肉84例患者的临床资料。结果:两组患者手术均顺利完成,观察组与对照组手术时间比较差异无统计学意义,观察组术中出血量及住院时间均少于对照组,两组比较差异有统计学意义;观察组术后出血及低钠血症发生率低于对照组,两组比较差异有统计学意义;两组患者术后3、6个月的月经量及息肉复发率比较差异无统计学意义。结论:宫腔镜下2微米激光切除治疗子宫内膜息肉安全、有效,且并发症少、住院时间短,值得临床上推广应用。

Objective：To compare the efficiency and safety of two procedures, hysteroscopic 2 μm laser vaporesec- tion and hysteroscopic resection, for the treatment of endometrial polyps. Methods：We retrospectively reviewed clini- cal data of 44 cases of endometrial polyps who were treated with hysteroscopic 2 μm laser vaporesection（ observation group） and 40 cases with hysteroscopic resection （control group） from October 2012 to August 2014. Results：Two groups patients were successfully operated. The difference of operation time of two groups was not statistically signifi- cant, while the length of stay and intraoperative blood loss of the observation group was less than the control group, and the difference was statistically significant. The complication rate of postoperative bleeding and hyponatremia of the ob- servasion group was less than the control group, and the difference was statistically significant ;The difference of post- operative menstruation and recurrence rate of two groups was not statistically significant. Conclusion： Hysteroscopic 2 μm laser vaporesection for the treatment of endometrial polyps was safe and effective, and with fewer complications, shorter hospital stay and be worthy of clinical application.