宫腔镜电切术治疗宫颈管赘生物的疗效观察

Observation on the curative effect of hysteroscopic resection in the treatment of cervical vascular neoplasm

目的探究宫腔镜电切术在宫颈管赘生物治疗中的临床疗效和临床应用价值。方法择取2015年12月至2017年4月我院收治的80例宫颈管赘生物患者,随机分为观察组和对照组,每组40例。观察组借助宫腔镜行宫颈管赘生物切除手术;对照组经阴道摘除宫颈赘生物。对比两组患者的治疗效果及相关指标。结果观察组在手术时间、术中、术后出血量、术中出血时间、术后下床时间、住院时间、术后月经情况、术后粘连、术后复发、术后性生活恢复时间、术后正常工作时间上均优于对照组,差异具有统计学意义(P<0.05)。结论相较于经阴道摘除术,宫腔镜电切术创伤更小、视野更加清晰,可以使患者更快地恢复正常生活,其临床疗效与临床应用价值显著。

Objective To investigate the clinical efficacy and clinical value of hysteroscopic resection in the treatment of cervical vascular neoplasm. Methods Eighty cases with cervical vascular neoplasm in our hospital from December 2015 to April 2017 were selected, and divided into observation group and control group according to the random table method, with 40 cases in each group. The observation group was treated with hysteroscopy cervical neoplasm resection, and the control group was treated with transvaginal resection. The therapeutic effects and related indexes of the two groups were compared.Results The time of operation, intraoperative and postoperative bleeding, intranoperative bleeding time, postoperative ambulation time, hospitalization time, postoperative menstruation, postoperative adhesions, postoperative recurrence and postoperative recovery time of sexual life, postoperative normal working hours of the observation group were better than those of the control group, with statistically significant difference （P〈0.05）. Conclusion Compared with transvaginal resection, hysteroscopic resection has less traumatic and more clear vision, and make the patients return to the normal life soon. The clinical efficacy and clinical value of hysteroscopic surgery are very significant.