宫腔镜下电切子宫内膜息肉临床分析

Clinical Analysis of Electroresection of Endometrial Polyps under Hysteroscopy

目的:观察宫腔镜下子宫内膜电切术治疗子宫内膜息肉的疗效。方法:采用随机抽样的方式,将诊断为子宫内膜息肉的患者分为A、B两组,平均每组50例患者,A组患者刮宫术前行宫腔镜定位,B组直接行宫腔镜子宫内膜切除术。对两组患者手术时间、临床疗效、出血量及不良反应等进行系统性分析。结果:分析结果表明,B组患者临床效果与A组患者的临床效果比较,明显高出很多,统计学差异显著(P<0.05);B组患者的手术时间和术中出血量也明显少于A组,有显著的统计学差异(P<0.05),出现手术并发症和不良反应的患者较A组少,有显著的统计学差异(P<0.05)。结论:宫腔镜直视下彻底切除子宫内膜息肉,其准确定位、手术局限,出血量少,疗效好等特点,值得临床的推广运用。

Objective：To observe the curative effect of electroresection of endometrial polyps under hysteroscopy.Methods：Patients diagnosed as endometrial polyps were randomly divided into group A（n=50）and group B（n=50）by means of random sampling.The group A was given hysteroscopic localization before uterine curettage,and the group B was treated with hysteroscopic endometrial resection directly,then the time of operation,the clinical effect,the amount of bleeding and the adverse reaction were analyzed systematically in the two groups.Results：The clinical effect of group B was significantly higher than that of group A,with significant statistical difference（P〈0.05）.The operative time and the amount of intraoperative bleeding in group B were significantly lower than those in group A,with significant statistical difference（P〈0.05）.The incidence of complications and adverse reactions in group B was less than that in the group A,with significant statistical difference（P〈0.05）.Conclusion：The endometrial polyps can be removed thoroughly under the hysteroscopy,which is worthy of clinical promotion and application because of its advantages of accurate location,limited operation,less bleeding and good curative effect.