宫腔镜治疗子宫异常出血的临床效果研究

Clinical Effect of Hysteroscopy on Abnormal Uterine Bleeding

目的研究与分析宫腔镜治疗子宫异常出血的临床效果。方法从本院2016年1月至2018年1月接收的子宫异常出血患者中,随机抽取600例患者,将其分为观察组与对照组,均300例。对照组患者接受传统刮宫术进行治疗;观察组患者进行宫腔镜手术治疗。观察两组患者治疗后的效果、并发症发生情况以及手术基本情况。结果观察组患者治疗后总有效率显著高于对照组患者;观察组患者手术时间、术中出血量、住院时间均低于对照组患者;差异具有统计学意义。观察组患者术后切口感染的12例、血压升高的15例、低钠水中毒的4例,总并发症发生率占比10.33%;对照组患者术后切口感染的26例、血压升高的38例、低钠水中毒的17例,总并发症发生率占比27.00%;组间两组患者术后并发症发生率比较,差异具有统计学意义(P<0.05)。结论宫腔镜治疗子宫异常出血的效果较为显著,改善了患者的临床出血症状,减少了并发症的发生几率,并且缩短了患者的手术时间和住院时间,促进了患者的恢复,临床价值较高,值得推广使用。

Objective To study and analyze the clinical effect of hysteroscopic treatment of abnormal uterine bleeding. Methods A total of 600 patients were randomly selected from our hospital from January 2016 to January 2018 and divided into observation group and control group, all of whom were in 300 cases. The control group received conventional curettage and the observation group underwent hysteroscopic surgery. Observe the effect of two groups of patients after treatment, the incidence of complications and the basic situation of surgery. Results The total effective rate in observation group was significantly higher than that in control group. The operation time, intraoperative blood loss and hospitalization time in observation group were lower than those in control group. The difference was statistically significant. In the observation group, there were 12 cases of incision infection, 15 cases of elevated blood pressure and 4 cases of hyponatremia. The total complication rate was 10.33%; In the control group, 26 cases were infected with incision infection and the blood pressure was increased Of the 38 cases, 17 cases of low sodium poisoning, the total complication rate was 27.00%; Comparing the incidence of postoperative complications between the two groups of patients, the difference was statistically significant（P〈0.05）. Conclusion Mirror treatment of abnormal uterine bleeding effect is more significant, to improve the clinical symptoms of patients with bleeding, reduce the incidence of complications, and shorten the patient＇s operation time and hospital stay, and promote the recovery of patients with high clinical value, it is worth promoting use.