宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕疗效对比

Comparison of curative effect of hysteroscopic electric resection and dilation and curettage in infertility patients with endometrial polyps

目的对比分析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疗效。方法选取88例子宫内膜息肉不孕患者随机分为A组和B组各44例,A组患者给予宫腔镜下电切术治疗,B组患者给予宫腔镜下刮宫术治疗,比较两组患者手术时间、术中出血量、住院时间、术前术后月经量变化、术后并发症、术后复发情况和妊娠情况。结果两组患者手术时间、术中出血量及住院时间差异均无统计学意义(P>0.05),治疗后1、3、6个月A组患者月经量较B组患者均显著降低,A组患者术后并发症的发生率2.27%,B组患者并发症的发生率15.91%,A组患者术后复发率2.27%,B组患者术后复发率18.18%,差异均具有统计学意义(P<0.05),A组患者的妊娠率为70.45%,B组患者的妊娠率为63.64%,差异无统计学意义(P>0.05)。结论宫腔镜下电切术较刮宫术治疗子宫内膜息肉不孕患者可显著改善患者的月经量,降低复发率,值得进一步在临床上推广。

Objective To investigate the curative effect of hysteroscopic electric resection and dilatation and curettage in infertility patients with endometrial polyps.Methods A total of 88 cases of infertility patients with endometrial polyps were selected and divided into group A and group B randomly.Patients in group A underwent hysteroscopic resection,and patients in group B underwent hysteroscopic curettage.The operative time,intraoperative blood loss,hospitalization time,preoperative and postoperative menstrual changes,postoperative complications,postoperative recurrence and pregnancy between the two groups were compared.Results There was no significant difference in the operation time,intraoperative blood loss and hospitalization time between the two groups(P>0.05).The menstrual period of group A was significantly lower than that of group B at 1,3 and 6 months after treatment.The incidence of postoperative complications was 2.27%and 15.91%in group B,and the difference was statistically significant(P<0.05).The recurrence rate was 2.27%in group A,which was significantly lower than that in group B(18.18%),the difference was statistically significant(P<0.05).The pregnancy rate of group A was 70.45%,and the pregnancy rate of group B was 63.64%.There was no significant difference in pregnancy rate between the two groups(P>0.05).Conclusion Hysteroscopic resection of the endometrial polyp in patients with infertility can significantly improve the patient's menstrual flow,reduce the recurrence rate,improve the pregnancy rate,and is worthy of further clinical promotion.