宫腔镜下电切除术治疗子宫内膜息肉的效果观察

Clinical efficacy of hysteroscopic electrotomy in endometrial polyps

目的观察宫腔镜下电切除术治疗子宫内膜息肉的效果。方法146例子宫内膜息肉患者随机分为观察组和对照组,分别采取宫腔镜下电切除术、宫腔镜下刮宫术治疗。比较两组术后临床症状恢复、不良事件及复发情况。结果术后3个月时,两组经期时间均较治疗前缩短,子宫内膜厚度明显降低,血红蛋白水平升高,且以观察组更为显著(P<0.05);观察组术后不良事件发生率低于对照组(P<0.05).术后6、12个月复发率差异无统计学意义(P>0.05)。结论宫腔镜下电切除术可有效促进子宫内膜息肉患者月经、血红蛋白和子宫内膜等指标的恢复,减少术后不良事件的发生。

Objective To observe the clinical efficacy of hysteroscopic electrotomy in endometrial polyps.Methods A total of 146 patients with endometrial polyps were randomly treated with hysteroscopic electrotomy(observation group)or hysteroscopic curettage(control group).Postoperative clinical symptom recovery,adverse events,and recurrence were compared between two groups.Results The menstrual period and endometrial thickness decreased,while hemoglobin level increased at 3 months postoperatively in both groups,especially in observation group(P<0.05).Postoperative adverse events were lower in observation group than in control group(P<0.05).The recurrence rate was comparable between both groups at 6 and 12 months postoperatively(P>0.05).Conclusion Hysteroscopic electrotomy could effectively promote the recovery of menstruation,hemoglobin,and endometrium and reduce the adverse events in patients with endometrial polyps.