刮宫术与宫腔镜电切用于治疗子宫内膜息肉的临床效果

Clinical Effect of Curettage and Hysteroscopic Electrotomy in the Treatment of Endometrial Polyps

目的:分析对患有子宫内膜息肉的患者使用刮宫术以及宫腔镜电切术的治疗效果。方法:选择2018年1月~2020年1月于本院接受治疗的60例患者作为研究对象,按照手术方式分为对照组(30例,刮宫术)和实验组(30例,宫腔镜电切术)。对比两组手术指标以及月经情况、并发症发生率、术后复发率。结果:实验组手术时间为(21.56±3.12)min、住院时间为(2.84±1.56)d、术中出血量为(24.52±2.25)mL,与对照组相比,P>0.05,实验组在手术后30d和90d的月经量情况显著优于对照组,P<0.05;实验组并发症总发生率(6.67%,2/30)比对照组(26.67%,8/30)低,P<0.05;实验组术后复发率(6.67%,2/30)较之对照组(30.00%,9/30)低,P<0.05。结论:两种手术在子宫内膜息肉的治疗过程中都具有较高的安全性,宫腔镜电切较之于传统刮宫手术治疗,不仅清除息肉效果理想,且可以改善患者的月经量,复发率明显下降,提高治疗效果。

Objective:To analyze the therapeutic effects of curettage and hysteroscopy in patients with endometrial polyps.Methods:Sixty patients who were treated in our hospital from January 2018 to January 2020 were selected as the research objects,and were divided into control group(30 cases,curettage)and experimental group(30 cases,hysteroscopy)according to the surgical method.The surgical indicators,menstruation,complication rate,and postoperative recurrence rate were compared between the two groups.Results:The operation time of the experimental group was(21.56±3.12)min,the hospital stay was(2.84±1.56)d,and the intraoperative bleeding volume was(24.52±2.25)mL.Compared with the control group,P>0.05.The menstrual volume of the experimental group was significantly better than that of the control group 30 days and 90 days after operation,P<0.05;The total incidence of complications in the experimental group(6.67%,2/30)was lower than that of the control group(26.67%,8/30),P<0.05;The postoperative recurrence rate of the experimental group(6.67%,2/30)was lower than that of the control group(30.00%,9/30),P<0.05.Conclusion:Both types of surgery are safer in the treatment of endometrial polyps.Compared with traditional curettage,hysteroscopic electric resection can not only remove the polyps,but also improve the menstrual flow and recurrence of patients.The rate is significantly reduced,and the treatment effect is improved.