宫腔镜手术治疗子宫内膜息肉的效果及对预后的影响

Effect of hysteroscopic surgery treating endometrial polyps and its influence on prognosis

目的分析宫腔镜手术治疗子宫内膜息肉的效果及对预后的影响。方法选取2021年1月至12月在苏州大学附属张家港医院妇产科收治的150例子宫内膜息肉患者,根据随机数字表法分为两组,即观察组(n=75)和对照组(n=75)。对照组行宫腔镜钳夹术治疗,观察组行宫腔镜电切术治疗。比较两组术后复发情况和治疗前后的性激素、月经情况及子宫内膜厚度。结果治疗后观察组的黄体生成素、促卵泡激素及雌二醇水平低于对照组,差异均有统计学意义(P<0.05)。治疗后观察组的月经量少于对照组,月经持续时间短于对照组,子宫内膜厚度薄于对照组,差异均有统计学意义(P<0.05)。观察组的子宫内膜息肉复发率为2.67%,低于对照组的12.00%(P<0.05)。结论行宫腔镜电切术治疗子宫内膜息肉,效果良好,不仅能有效缓解患者的临床症状,还能降低复发风险。

Objective To analyze the effect of hysteroscopic surgery treating endometrial polyps and its influence on prognosis.Methods A total of 150 patients with endometrial polyps admitted to the Department of Obstetrics and Gynecology,Zhangjiagang Hospital Affiliated to Soochow University from January to December 2021 were selected and divided into two groups according to the random number table method,namely observation group(n=75)and control group(n=75).The control group was treated with hysteroscopic clamping and curettage,while the observation group was treated with hysteroscopic electrocision.The recurrence after surgery,serum indexes,menstruation and endometrial thickness before and after treatment were compared between the two groups.Results After treatment,the levels of luteinizing hormone,follicle stimulating hormone and estradiol in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the menstrual volume in the observation group was less than that in the control group,the menstrual duration was shorter than that of control group,the endometrial thickness was thinner than that of the control group,and the differences were statistically significant(P<0.05).The recurrence rate of endometrial polyps in the observation group was 2.67%,which was lower than 12.00%in the control group(P<0.05).Conclusion Hysteroscopic electrocision for endometrial polyps has a good effect,which can not only effectively relieve the clinical sym ptoms of patients,but also reduce the risk of recurrence.