宫腔镜治疗子宫内膜息肉的临床效果分析

Clinical Effect Analysis of Hysteroscopic Treatment of Endometrial Polyps

目的探讨在子宫内膜息肉的治疗中采取宫腔镜手术治疗的临床价值以及对患者预后的影响。方法方便选取2021年1月—2022年1月期间因子宫内膜息肉在单县中心医院接受治疗的患者120例为研究对象,随机均分两组,每组纳入60例,对照组在治疗中施以宫腔镜下刮宫术,研究组在治疗中施以宫腔镜下电切术,比较总体临床疗效、炎性因子水平、血清VEGF水平、性激素水平、子宫内膜厚度与月经量改善情况、手术指标以及术后并发症发生情况。结果研究组总体临床治疗有效率较对照组高,差异有统计学意义(χ^(2)=4.615,P<0.05)。研究组IL-4水平(97.86±3.12)ng/L较对照组高,CRP水平(11.17±2.03)mg/L较对照组低,血清VEGF水平较对照组低,差异有统计学意义(t=25.050、18.544、50.442,P<0.05)。研究组FSH、LH、E2水平均较对照组低,但两组比较,差异无统计学意义(t=1.704、1.604、1.799,P>0.05)。研究组子宫内膜厚度与月经量均较对照组少,差异有统计学意义(t=15.514、92.085,P<0.05)。手术指标方面,研究组手术时间、术中出血量以及住院时间均较对照组少,差异有统计学意义(t=25.027、39.567、26.961,P<0.05)。研究组术后并发症发生率较对照组低,差异有统计学意义(χ^(2)=4.227,P<0.05)。结论在子宫内膜息肉的治疗中采取宫腔镜下电切术治疗效果显著,可消除炎性反应,改善性激素水平、子宫内膜厚度与月经量,缩短治疗时间,减少术后并发症。

Objective To explore the clinical value of adopting hysteroscopic surgery in the treatment of endometrial polyps and the impact on patients'prognosis.Methods A total of 120 patients treated for endometrial polyps in the hospital from January 2021 to January 2022 were conveniently selected for inclusion in this study.The patients were randomly numbered and divided into two groups of 60 patients each,and the control group was treated with hysteroscopic curettage.The control group was treated with hysteroscopic curettage and the study group was treated with hysteroscopic electrodesiccation.To compare the overall clinical efficacy,inflammatory factor levels,serum VEGF levels,sex hormone levels,improvement in endometrial thickness and menstrual flow,surgical indices,and postoperative complications.Results The overall clinical treatment efficiency in the study group was higher than that in the control group,the difference was statistically significant(χ^(2)=4.615,P<0.05).The IL-4 levels in the study group was(97.86±3.12)ng/L,higher than that in the control group,CRP levels was(11.17±2.03)mg/L,lower than that in the control group,and serum VEGF levels was lower than that in the control group,the difference was statistically significant(t=25.050,18.544,50.442,P<0.05).The FSH,LH and E2 levels in the study group were lower than those in the control group,but there was no statistically significant difference between the two groups(t=1.704,1.604,1.799,P>0.05).The endometrial thickness and menstrual volume in the study group were less than those in the control group,the difference was statistically significant(t=15.514,92.085,P<0.05).The study group had less operative time,intraoperative bleeding,and hospital stay than those in the control group,the difference was statistically significant(t=25.027,39.567,26.961,P<0.05).In terms of complications,the study group had lower postoperative complications than that in the control group,the difference was statistically significant(χ^(2)=4.227,P<0.05).Conclusion The treatment with hysteroscopic electrodesiccation in the treatment of endometrial polyps is effective.It can eliminate the inflammatory response,improve the sex hormone level,endometrial thickness and menstrual volume,and shorten the treatment time.It reduces postoperative complications.