观察宫腔镜下电切术与刮宫术对子宫内膜息肉伴不孕症患者临床疗效及妊娠结局的影响

To observe the effect of hysteroscopic electrotomy and curettage on the clinical effect and pregnancy outcome of endometrial polyps with infertility

目的分析采用宫腔镜下电切术和宫腔镜下刮宫术治疗子宫内膜息肉(EP)伴不孕症临床疗效及术后妊娠结局情况。方法选取74例EP伴不孕症患者,根据随机数字表法分为两组,各37例。对照组予以宫腔镜下刮宫术,研究组予以宫腔镜下电切术治疗。比较两组临床疗效及妊娠结局。结果两组术中出血量、手术时间、住院时间比较,差异无统计学意义(P>0.05)。两组术前月经量比较,差异无统计学意义(P>0.05),研究组术后1个月、6个月的月经量分别为(136.28±27.19)ml、(146.95±30.77)ml,均少于对照组的(201.39±26.98)ml、(209.39±32.29)ml(P<0.05)。研究组术后6个月及术后12个月复发率低于对照组,妊娠率高于对照组(P<0.05)。结论宫腔镜下电切术治疗EP伴不孕症患者对改善月经、预防复发及提高术后妊娠率效果均较宫腔镜下刮宫术优。

Objective To analyze the clinical efficacy and postoperative pregnancy outcomes of hysteroscopic electroresection and hysteroscopic curettage in the treatment of endometrial polyp(EP)with infertility.Methods 74 EP patients with infertility were selected and divided into two groups(37 cases each)according to random number table method.The control group was treated with hysteroscopic curettage,and the study group was treated with hysteroscopic electrotomy.The clinical efficacy and pregnancy outcome of the two groups were compared.Results There was no significant difference in blood loss,operation time and hospital stay between the two groups(P>0.05).There was no significant difference in preoperative menstrual volume between the two groups(P>0.05).The menstrual volume of the study group at 1 month and 6 months after surgery was(136.28±27.19)ml and(146.95±30.77)ml,respectively.They were all less than(201.39±26.98)ml and(209.39±32.29)ml in the control group(P<0.05).The recurrence rate at 6 months and 12 months after operation in the study group was lower than that in the control group,and the pregnancy rate was higher than that in the control group(P<o.05).Conclusion Hysteroscopic electrotomy is more effective than hysteroscopic curettage in improving menstruation,preventing recurrence and increasing postoperative pregnancy rate in EP patients with infertility.