宫腔镜手术治疗子宫内膜息肉的临床分析

Clinical analysis of hysteroscopic surgery in the treatment of endometrial polyps

目的探讨宫腔镜手术用于子宫内膜息肉治疗的临床疗效。方法 90例子宫内膜息肉患者为研究对象,根据手术方式不同分为观察组和对照组,每组45例。对照组实施常规刮宫术治疗,观察组采用宫腔镜下子宫内膜息肉切除术治疗。对比两组患者临床疗效。结果观察组手术时间短于对照组、术中出血量显著少于对照组,差异具有统计学意义(P<0.05);两组患者经期时间、月经量比较差异无统计学意义(P>0.05)。观察组术后复发患者1例(2.2%),对照组复发患者8例(17.8%),观察组复发率显著低于对照组,差异具有统计学意义(P<0.05)。两组患者术中及术后均无宫腔粘连、伤口感染等不良反应发生。结论宫腔镜手术治疗子宫内膜息肉手术时间短、术中出血量少、疗效确切、复发率低,有利于患者快速恢复,值得临床推广应用。

Objective To discuss the clinical efficacy of hysteroscopic surgery in endometrial polyps. Methods A total of 90 endometrial polyps patients as study subjects were divided by different surgical methods into observation group and control group, with 45 cases in each group. The control group was treated with conventional curettage, and the observation group was treated with hysteroscopic resection of endometrial polyps. The clinical efficacy in two groups was compared. Results The observation group had shorter operation time than the control group, and obviously less intraoperative bleeding volume than the control group. Their difference was statistically significant（P〈0.05）. Both groups had no statistically significant difference in menstrual time and amount of menstruation（P〉0.05）. The observation group had 1 postoperative recurrent case（2.2%）, which was 8 cases（17.8%） in the control group, and their difference was statistically significant（P〈0.05）. Both groups had no adverse reactions of intrauterine adhesions and wound infection during and after operation. Conclusion Hysteroscopic surgery for endometrial polyps shows shorter operative time, less intraoperative blood loss, exact curative effect and low recurrence rate, and it is conducive to rapid recovery of patients. It is worthy of clinical promotion and application.