传统术式与宫腔镜下切除术式治疗宫颈息肉的临床效果比较

Comparison of clinical effect between traditional operation and hysteroscopic resection for cervical polyps

目的比较宫颈息肉患者采用宫腔镜下切除术治疗和传统手术治疗的效果。方法选择72例宫颈息肉患者为研究对象,根据随机数字表法分为对照组与研究组,每组36例。对照组采用传统手术治疗,研究组采用宫腔镜手术治疗。对比两组治疗效果、治疗满意度、生活质量、术中出血量和住院时间、并发症发生率、治疗复发率。结果两组治疗效果比较,差异无统计学意义(P>0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。研究组术中出血量少于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。研究组治疗满意度高于对照组,治疗复发率低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组生活质量评分比较,差异无统计学意义(P>0.05);治疗后,研究组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论宫颈息肉患者采用宫腔镜手术治效果较好,可以减少术中出血量少,缩短住院时间,提高治疗满意度和生活质量,降低治疗复发率,值得临床推广与应用。

Objective To compare and analyze the effects of hysteroscopic resection and traditional surgery on patients with cervical polyps.Methods A total of 72 patients with cervical polyps were selected as research objects,and were divided into control group and study group according to random number table method,with 36 cases in each group.The control group was treated with traditional surgery,while the study group was treated with hysteroscopic surgery.The therapeutic effect,treatment satisfaction,quality of life,intraoperative blood loss and length of stay,complication rate and treatment recurrence rate were compared between the two groups.Results There was no significant diff erence in treatment effect between the two groups(P>0.05).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss of the study group was less than that of the control group,and the length of hospital stay was shorter than that of the control group,the differences were statistically signifi cant(P<0.05).The treatment satisfaction of the study group was higher than that of the control group,and the treatment recurrence rate was lower than that of the control group,with statistical significance(P<0.05).Before treatment,there was no significant difference in quality of life scores between the two groups(P>0.05).After treatment,the quality of life score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopic surgery is effective for patients with cervical polyps,which can reduce intraoperative blood loss,shorten hospital stay,improve treatment satisfaction and quality of life,and reduce treatment recurrence rate.It is worthy of clinical promotion and application.