宫腔镜下冷刀切除术对子宫肌瘤患者局部微循环及炎症反应的影响

A Study on the Effects of Cold Knife Excision by Hysteroscopy for the Local Microcirculation and Inflammatory Reaction of Patients with Hysteromyoma

目的研究与观察宫腔镜下冷刀切除术对子宫肌瘤患者局部微循环及炎症反应的影响.方法选取2016年3月至2017年7月期间广元市第一人民医院医院的86例子宫肌瘤患者为研究对象,将所有患者根据随机数字表法分为对照组43例和观察组43例.对照组进行宫腔镜下单极电刀切除术治疗,观察组进行宫腔镜下冷刀切除术治疗.检测2组患者手术前后不同时间的局部微循环及炎症反应指标.结果手术前2组患者的局部微循环及炎症反应指标比较,差异无统计学意义(P>0.05),手术后观察组的局部微循环显著好于对照组,炎症反应指标显著低于对照组,差异有统计学意义(P<0.05).结论宫腔镜下冷刀切除术在控制子宫肌瘤患者局部微循环及炎症反应方面具有更好的临床效果,在子宫肌瘤患者中具有更高的应用价值.

Objective To study and observe the effects of cold knife excision by hysteroscopy for the local microcirculation and inflammatory reaction of patients with hysteromyoma.Me thods 86 patients with hysteromyoma admitted in our hospital from March 2016 to July 2017 were selected as the research objects,and the patients were divided into control group with 43 cases and observation group with 43 cases according to the method of random number table.The control group were treated with monopolar electric knife excision by hysteroscopy,while the observation group treated with cold knife excision by hysteroscopy.Then the local microcirculation and inflammatory reaction indexes of two groups at different time before and after the operation were detected.Re s ults The local microcirculation and inflammatory reaction indexes of two groups before the operation were compare, no significant differences found（P〉0.05）;the local microcirculation indexes of observation group after the operation were significantly better than those of the control group, the inflammatory reaction indexes were significantly lower than those of the control group,both with statistical significance（P〈0.05）.Conclus ion The cold knife excision by hysteroscopy has better clinical effects in the control of local microcirculation and inflammatory reaction in patients with hysteromyoma,so it has higher application value in the patients with hysteromyoma.