宫腔镜手术治疗异常子宫出血的临床效果

Clinical Effect of Hysteroscopic Surgery in Treatment of Abnormal Uterine Bleeding

目的:观察宫腔镜手术治疗异常子宫出血的临床效果。方法:选取2021年1月—2023年2月罗甸县妇幼保健院收治的84例异常子宫出血患者作为研究对象,根据随机数字表法分为常规组与宫腔镜组,各42例。常规组采取传统刮宫术治疗,宫腔镜组采取宫腔镜手术治疗。比较两组手术指标、临床疗效、并发症发生情况。结果:宫腔镜组手术时间、体温恢复时间、术后住院时间短于常规组,术中出血量少于常规组,术后疼痛评分低于常规组,差异有统计学意义(P<0.001)。宫腔镜组治疗总有效率高于常规组,差异有统计学意义(P=0.048)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:宫腔镜手术治疗异常子宫出血的临床效果显著,具有手术时间短、术中出血量少、术后疼痛轻微、体温恢复快、术后住院时间短等优势,且并发症发生率低,值得临床推广。

Objective:To observe the clinical effect of hysteroscopic surgery in treatment of abnormal uterine bleeding.Methods:A total of 84 patients with abnormal uterine bleeding admitted to Luodian County Maternal and Child Health Hospital from Janu⁃ary 2021 to February 2023 were selected as the study subjects.They were divided into conventional group and hysteroscopy group according to random number table method,with 42 cases in each group.The conventional group received traditional curettage treatment,while the hysteroscopy group received hysteroscopic surgery treatment.The surgical indicators,clinical efficacy,and in⁃cidence of complications were compared between the two groups.Results:The operation time,body temperature recovery time and postoperative hospital stay in the hysteroscopy group were shorter than those in the conventional group,the intraoperative blood loss in the hysteroscopy group was less than that in the conventional group,and the postoperative pain score in the hysteroscopy group was lower than that in the conventional group,and the difference was statistically significant(P<0.001).The total effective rate of treatment in the hysteroscopy group was higher than that in the conventional group,and the difference was statistically sig⁃nificant(P=0.048).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclu⁃sion:Hysteroscopic surgery has a significant clinical effect in the treatment of abnormal uterine bleeding,and has advantages such as short operation time,less intraoperative blood loss,mild postoperative pain,fast recovery of body temperature,and short postop⁃erative hospital stay,with low incidence of complication.It is worthy of clinical promotion.