宫腔镜下电切术和刮宫术治疗异常子宫出血的疗效对比

Efficacy comparison of hysteroscopic electrotomy and curettage in the treatment of abnormal uterine bleeding

目的对比异常子宫出血应用宫腔镜下电切术和刮宫术的治疗效果。方法80例异常子宫出血患者,采用随机数字表法分为参比组和试验组,每组40例。参比组患者采用宫腔镜下刮宫术治疗,试验组患者采用宫腔镜下电切术治疗。对比两组患者手术相关指标、临床疗效及不良事件发生率。结果试验组术中出血量(82.41±8.59)ml少于参比组的(99.89±9.88)ml,手术时间(24.51±2.33)min、住院时间(3.12±0.12)d短于参比组的(31.25±2.41)min、(4.23±0.34)d,存在统计学差异(P<0.05)。试验组总有效率97.50%高于参比组的82.50%,存在统计学差异(P<0.05)。试验组不良事件发生率2.50%低于参比组的20.00%,存在统计学差异(P<0.05)。结论对异常子宫出血采用宫腔镜下电切术治疗能够提升临床疗效,其术中出血量及不良事件比宫腔镜下刮宫术少,值得临床推广应用。

Objective To compare the effect of hysteroscopic electrotomy and curettage in the treatment of abnormal uterine bleeding.Methods 80 patients with abnormal uterine bleeding were divided into a reference group and an experimental group using a random number table method,with 40 patients in each group.Patients in the reference group were treated with hysteroscopic curettage,and patients in the experimental group were treated with hysteroscopic curettage.The surgical related indicators,clinical efficacy and incidence of adverse events were compared between the two groups.Results The intraoperative blood loss of(82.41±8.59)ml in the experimental group was less than(99.89±9.88)ml in the reference group;the operative time and hospital stay were(24.51±2.33)min and(3.12±0.12)d in the experimental group,which were shorter than(31.25±2.41)min and(4.23±0.34)d in the reference group;there was statistical difference(P<0.05).The total effective rate of 97.50%in the experimental group was higher than 82.50%in the reference group,and there was statistical difference(P<0.05).The incidence of adverse events of 2.50%in the experimental group was lower than 20.00%in the reference group,and there was statistical difference(P<0.05).Conclusion Hysteroscopic electrotomy in the treatment of abnormal uterine bleeding can improve clinical efficacy,with less intraoperative blood loss and low incidence of adverse events,so it is worthy of clinical application.