子宫内膜息肉型不孕症患者手术方式对妊娠结局的影响

Effect of Surgical Methods on Pregnancy Outcome in Patients with Endometrial Polyposis Infertility

目的研究子宫内膜息肉型不孕(EP型不孕)症患者手术方式对妊娠结局的影响。方法选取在南阳市第二人民医院于2013年5月—2015年2月间就诊的124例EP型不孕症患者为研究对象,随机分为电切组和刮宫组,每组62例,电切组采用宫腔镜电切术,刮宫组采用宫腔镜刮宫术,分析两组术后自然妊娠情况和月经量。结果电切组术后12个月的月经量为(164.73±85.91)ml显著低于刮宫组的(298.08±124.33)m(lP<0.05)。电切组治疗后的自然妊娠率、临床妊娠率、分娩率、足月分娩率分别为59.7%、56.5%、45.2%、43.5%显著高于对照组的41.9%、37.1%、24.2%、24.2%(P<0.05)。结论宫腔镜电切术具有微创、安全的特点,可以有效缓解EP型不孕患者的临床症状,切除息肉,保护正常的子宫内膜组织,提高患者的妊娠率,值得临床应用和推广。

Objective To study the effect of surgical methods on pregnancy outcome in patients with endometrial polyposis infer tility(EP infertility). Methods 124 patients with EP type infertility from May,2013 to February,2015 in the hospital were randomly divided into electrocution group(n=62)and curettage group(n=62). The natural pregnancy and menstrual volume were analyzed in both groups. Results The menstrual volume(164.73 ±85.91)ml in the electroresection group was significantly lower than that in the cu rettage group(298.08 ±124.33)ml(P<0.05). The natural pregnancy rate,clinical pregnancy rate,delivery rate and full-term deliv ery rate in the electrocution group were 59.7%,56.5%,45.2% and 43.5%,which were significantly higher than 41.9%,37.1%, 24.2% and 24.2% in the control group(P<0.05). Conclusion Hysteroscopic electroresection has the characteristics of minimally inva sive and safe,which can effectively relieve the clinical symptoms of EP infertility patients,remove polyps,protect normal endome trial tissue,and improve the pregnancy rate of patients. It is worthy of clinical application and promotion.