宫腔镜刨削系统对子宫内膜息肉的疗效评价

Evaluation of the curative effect of hysteroscopic intergrated bigatti shaver on endometrial polyps

目的:探讨宫腔镜刨削系统治疗子宫内膜息肉的效果。方法:2019年6月-2020年6月收治子宫内膜息肉患者80例,随机分为两组,各40例。对照组采用常规宫腔镜子宫内膜息肉电切术治疗;观察组采用宫腔镜刨削系统治疗。比较两组患者围术期相关指标水平、综合恢复情况及并发症发生率。结果:观察组手术时间、膨宫液用量及术中出血量均低于对照组,差异有统计学意义(P<0.05);观察组术后排卵期子宫内膜厚度及术后1年妊娠成功率均高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:应用宫腔镜刨削系统治疗子宫内膜息肉的疗效确切,并发症发生率更低,安全性高。

Objective:To explore the effect of hysteroscopicintergrated bigatti shaver(IBS)in the treatment of endometrial polyps.Methods:From June 2019 to June 2020,80 patients with endometrial polyps were selected,they were randomly divided into the two groups with 40 cases in each group.The control group was treated with conventional hysteroscopic endometrial polypectomy.The observation group was treated with the IBS planing system.The perioperative level of related indicators,comprehensive recovery and the incidence of complications were compared between the two groups of patients.Results:The operation time,the amount of dilatation fluid and intraoperative blood loss in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The endometrial thickness during ovulation after operation and the success rate of pregnancy one year after operation in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The application of IBS planing system in the treatment of endometrial polyps is effective,with lower complication rate and high safety.