宫腔镜宫内刨削系统治疗难治性宫内残留的临床效果

Clinical efficacy of hysteroscopic intrauterine planing system in the treatment of refractory intrauterine remnants

目的探讨宫腔镜宫内刨削系统治疗难治性宫内残留的临床效果。方法选取本院接受手术治疗的80例难治性宫内残留患者为研究对象,按照随机编号分为两组,各40例。对照组予以宫腔镜下电切术,试验组予以宫腔镜下刨削术。比较两组一次性切除成功率、手术时间、术中出血量、并发症及术后恢复指标。结果试验组一次性切除率为100%,高于对照组的87.50%,差异有统计学意义(P<0.05);试验组术中出血量少于对照组(P<0.05);试验组并发症发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05);对照组月经规律时间、人绒毛膜促性腺激素恢复正常时间和阴道出血时间长于试验组,差异有统计学意义(P<0.05)。结论宫腔镜宫内刨削系统治疗难治性宫内残留,一次性切除率高,并且可以减轻损伤,降低并发症发生率,促进术后康复。

Objective To explore the clinical effect of hysteroscopic intrauterine planing system in the treatment of refractory intrauterine residue.Methods 80 patients with refractory intrauterine residue who underwent surgical treatment in our hospital were selected as the research subjects and randomly divided into two groups,with 40 patients in each group.The control group received hysteroscopic resection,while the experimental group received hysteroscopic planing.Compare the success rate of one-time resection,surgical time,intraoperative bleeding,complications,and postoperative recovery indicators.Results The one-time resection rate in the experimental group was 100%,higher than 87.50%in the control group,with a statistically significant difference(P<0.05);The intraoperative bleeding volume in the experimental group was lower than that in the control group(P<0.05);The incidence of complications in the experimental group was 5.00%,lower than 22.50%in the control group,with a statistically significant difference(P<0.05);The control group had longer menstrual cycles,normal recovery time of human chorionic gonadotropin,and vaginal bleeding time than the experimental group,with statistically significant differences(P<0.05).Conclusion The hysteroscopic intrauterine planing system for the treatment of refractory intrauterine remnants has a high one-time resection rate,can reduce injury,reduce the incidence of complications,and promote postoperative recovery.