宫腔镜下内膜息肉电切术治疗54例子宫内膜息肉疗效观察

Clinical effect of hysteroscopic endometrial polyp resection in the treatment of endometrial polyps

目的:观察宫腔镜下内膜息肉电切术治疗子宫内膜息肉的临床效果。方法:选取2015年1月至2015年12月在本院诊治的子宫息肉患者108例,按照数字表法随机分为两组,每组各有54例,对照组行刮除术,观察组在宫腔镜下行内膜息肉电切术,比较两组患者手术参数,出院后6个月随访,比较两组患者治疗有效率,出院后12个时记录妊娠率。结果:手术过程中,观察组手术时间及术中出血量指标明显优于对照组,且组间比较差异有统计学意义(P<0.05);出院后6个月时随访,观察组总有效率为90.74%,明显高于对照组,组间比较差异有统计学意义(P<0.05),出院后12个月时随访,妊娠率为57.41%,高于对照组,组间比较差异有统计学意义(P<0.05)。结论:在宫腔镜下行内膜息肉电切术疗效确切,且术中出血量少,手术时间短,可明显提高治疗效果及受孕率。

Objective：To observe the clinical effect of hysteroscopic endometrial polyp resection in the treatment of endometrial polyps.Methods：We selected 108 cases of uterine polyps diagnosed and treated in our hospital from January 2015 to December2015,They were randomly divided into two groups according to the digital watch method,There were 54 cases in each group,the control group underwent curettage,the observation group in hysteroscopic endometrial polyp resection,compared two groups of patients with operation parameters,6 months follow-up after discharge,efficiency of the two groups was compared after discharge,12 recorded during the pregnancy rate.Results：During the surgery,the observation group the operation time and bleeding index was significantly better than the control group,and there was significant difference between the two groups（P〈0.05）;after 6 months of follow-up,the total effective rate of observation group was 90.74%,significantly higher than the control group,the difference between groups was statistically significant（P〈0.05）.After 12 months of follow-up,the pregnancy rate was 57.41%,higher than the control group,there were significant differences between the groups（P〈0.05）.Conclusion：In hysteroscopic resection of endometrial polyps,the effect is accurate,and intraoperative bleeding less,the operation time is short,can significantly improve the treatment effect and the rate of pregnancy,it is worth further promotion.