宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的临床效果观察

Clinical effect observation of hysteroscopic resection and curettage in the treatment of endometrial polyps patients

目的探讨宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的临床效果。方法选取2015年2月~2016年11月我院收治的88例子宫内膜息肉不孕患者,按照随机数字表法分组。刮宫组(44例)用刮宫术治疗并辅以宫腔镜检查,宫腔镜电切组(44例)则开展宫腔镜下电切术。比较两组的临床效果,手术过程出血总量、手术完成时间;干预前后患者生活质量水平SF-36量表评分,1年内复发及受孕率。结果宫腔镜电切组的临床效果高于刮宫组(P<0.05);宫腔镜电切组手术过程出血量少于刮宫组,手术完成时间短于刮宫组,差异均有统计学意义(P<0.05);干预前两组生活质量水平SF-36量表评分差异无统计学意义(P>0.05);干预后宫腔镜电切组生活质量水平SF-36量表评分优于刮宫组(P<0.05)。宫腔镜电切组1年复发率低于刮宫组,1年受孕率高于刮宫组,差异均有统计学意义(P<0.05)。结论宫腔镜下电切术治疗子宫内膜息肉不孕患者的临床效果确切,与刮宫术比较,可降低复发率,更好地改善生活质量,且创伤更轻,可减少出血,缩短手术时间,提高受孕率。

Objective To investigate the clinical effect of hysteroscopic resection and curettage in the treatment of endometrial polyps infertility.Methods From February 2015 to November 2016,88 cases of endometrial polyps infertility were selected and randomly divided into groups.Curettage group was treated curettage and hysteroscopy,hysteroscopic resection group was treated undergoing hysteroscopic resection.The clinical efficacy of the two groups of endometrial polyps infertility,the total amount of bleeding during surgery,the time of operation,before and after intervention of quality of life SF-36 scale score,within one year of recurrence and pregnancy rate were compared between two groups.Results The clinical effect of hysteroscopic resection group was higher than that in the curettage group（P〈0.05）.The total amount of hemorrhage in the hysteroscopic resection group was lesser than that in the control group,and the completion time was shorter than that in the curettage group,the differences were statistically significant（P〈0.05）.The SF-36 scores of the two groups before the intervention the difference had no statistical significance（P〉0.05）.Quality of life SF-36 scale score of hysteroscopic resection group was superior to curettage group（P 〈0.05）.Hysteroscopic resection group 1 year recurrence rate was lower than that in the curettage group,1 year pregnancy rate was higher than that in the curettage group,the differences were statistically significant（P〈 0.05）.Conclusion Hysteroscopic resection of endometrial polyps in patients with infertility clinical effect is exact,and compared with curettage reduce the recurrence rate and better quality of life,and less trauma,can reduce bleeding and shorten the operation time,improve the pregnancy rate.