宫腔镜手术治疗子宫内膜息肉的临床分析

Clinical analysis of hysteroscopic surgery for endometrial polyps

目的探索宫腔镜技术在治疗子宫内膜息肉(EP)方面的临床价值。方法选取佛山市中医院2013年1月-2016年1月收治的80例EP病患者作为研究对象,随机分为观察组和对照组各40例,其中对照组行常规刮宫术,观察组采取宫腔镜下EP切除术。对两组患者的手术时间、手术出血量、有效率进行对比观察。结果观察组患者手术时间为(19.6±2.5)min,手术出血量为(10.3±2.7)ml,有效率为95.0%,对照组分别为(32.7±2.3)min、(28.9±3.4)ml、72.5%,差异均有统计学意义(P<0.05)。结论与传统手术方式相比,宫腔镜技术可以减轻EP患者痛苦,提高治疗质量和有效率,具有很高的临床应用价值。

Objective To explore the clinical value of hysteroscopy in the treatment of endometrial polyps（EP）. Methods Eighty patients with EP were selected at Foshan Hospital of Traditional Chinese Medicine from January 2013 to January 2016,and randomly divided into observation group and control group,40 cases in each group. The control group was treated with routine dilatation and curettage. The observation group was treated with hysteroscopy endometrial polypectomy. The operation time,the amount of bleeding and the effective percentage of the two groups were compared. Results The operation time,the amount of bleeding and the effective percentage of the observation group were（19.6±2.5）min,（10.3±2.7）ml,95.0%,with（32.7 ±2.3）min,（28.9 ±3.4）ml,72.5% of the control group,the differences were statistically significant（P〈0.05）. Conclusion Combined with hysteroscopy can significantly improve the cure effect of EP compared with the conventional surgical methods. It significantly improve the quality of treatment and effective percentage and has a significant clinical value.