宫腔镜刨削系统在宫腔良性疾病治疗中应用价值

Application value of hysteroscopic shaving system in the treatment ofbenign uterine diseases

目的 探讨宫腔镜刨削系统在宫腔良性疾病治疗中的应用价值。方法 选取自2019年5月至2021年5月收治的80例宫腔良性疾病患者为研究对象。根据手术方式不同分为电切组(n=40,行宫腔镜下电切术)与刨削组(n=40,行宫腔镜下刨削术),观察两组患者的手术情况、术后恢复情况,比较两组患者手术前、后的血生化水平以及术后并发症的发生情况等。结果 两组患者的手术时间、苏醒时间比较,差异均无统计学意义(P>0.05)。刨削组患者术中出血量、膨宫液用量均低于电切组,差异有统计学意义(P<0.05)。刨削组月经恢复正常时间明显短于电切组,月经量明显少于电切组,排卵期子宫内膜厚度明显小于电切组,差异有统计学意义(P<0.05)。术后,刨削组纤维蛋白原、K+以及血红蛋白水平均低于电切组,Na+水平高于电切组,差异有统计学意义(P<0.05)。刨削组患者并发症的发生率为5.0%(2/40),明显低于电切组的20.0%(8/40),差异有统计学意义(P<0.05)。结论 宫腔镜下刨削系统应用于宫腔良性疾病治疗中,可有效减少术中出血量以及膨宫液用量,利于术后恢复,且安全性较高。

Objective To explore the application value of hysteroscopic shaving system in treating benign uterine diseases.Methods A total of 80 patients with benign uterine diseases admitted from May 2019 to May 2021 were selected as the subjects and divided into electrotomy group(n=40,hysteroscopic electrotomy)and shaving group(n=40,hysteroscopic shaving system)by different surgical methods.The surgical status,postoperative recovery condition,blood biochemical indicatorsbefore and after the surgery and occurrence of postoperative complicationswere compared between the two groups.Results There were no statistically significant differences in the surgical time and recovery time between the two groups(P>0.05).The intraoperative bleeding volume and dosage of dilation fluid in shaving group were less than those in electrotomy group(P<0.05).The normal menstruation recovery time in shaving group was significantly shorter than that in electrotomy group,and the menstrual volume was significantly less than that in electrotomy group,and the endometrial thickness during ovulation was significantly thinner than that in electrotomy group(P<0.05).The levels of fibrinogen,K+and hemoglobin after surgery were lower in shaving group than those in electrotomy group,while the level of Na+was higher than that in electrotomy group(P<0.05).The total incidence rate of complications in shaving group(5.0%)was significantly lower than that in electrotomy group(20.0%),the differences were statistically significant(P<0.05).Conclusion Hysteroscopic shaving system for benign uterine diseases can reduce the intraoperative bleeding volume and dilation fluid dosage,and it is conducive to postoperative recovery and has high safety.