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宫腔镜下钳夹摘除和电切除宫内膜息肉的比较

Comparison between Hysteroscopic Polypectomy by a Biopsy Forceps and Transcervical Electric Resection of Endometrial Polyps
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摘要 目的 比较宫腔镜下钳夹摘除和电切除宫内膜息肉术后复发率。方法 将 1 2 0例宫内膜息肉患者分 2组 (研究组和对照组 ) ,研究组 90例接受宫腔镜下钳夹摘除宫内膜息肉术 ,对照组 3 0例接受宫腔镜宫内膜息肉电切除术。术后随访 1年 ,通过经阴道超声检查或宫腔镜检了解宫内膜息肉的复发情况。结果 研究组随访 90例 ,4例复发 ,对照组 3 0例 ,1例复发。复发者再次接受宫腔镜宫内膜息肉电切除术。 2组术后宫内膜息肉复发率比较无显著性差异 (P >0 .0 5 )。结论 宫腔镜下钳夹摘除宫内膜息肉术是一种简单、有效的治疗方法。 Objective To compare the post-operation recurrence rate between hysteroscopic polypectomy by a biopy forceps and transcervical electric resection of endometrial polyps. Methods 120 patients suffering endometrial polyps were divided into two groups. The first, a study group, included 90 patients who were to undergo hysteroscopic polypectomy by a biopy forceps. The second, a control group, included 30 patients who were to undergo transcervical electric resection of endometrial polys.All patients were followed up aftere peration for a year. The recurrence of endometrial polyps were noted by transvaginal sonography or hysteroscopy. Results All patients were followed up. In study group, 4 patients had endometrial polyps diagnosed and removed by transcervical electric resection of endometrial polyps during follow-up. In control group, 1 patient had endometrial polyps diagnosed and removed during follow-up. The recurrence rate of two groups had no significant difference(P>0.05). Conclusions Hysteroscopic polypectomy by a biopy forceps is a simple and effective procedure.
出处 《郴州医学高等专科学校学报》 2002年第4期13-15,共3页
关键词 钳夹摘除 电切除 宫腔镜检查 宫内膜息肉 治疗 复发率 Hysteroscopy Endometrial polyps Therapy Recurrence rate
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参考文献5

  • 1ReslovaT,TosnerJ,ReslM ,etal.EndometrialpolypsAclinicalstudyof245cases[].Archives of Gynecology and Obstetrics.1999
  • 2Goldenberg M,Nezhat C,Mashiach S,et al.A randomized prospective study of endometrial resection to prevent recurrent endometrial polyps in women with breast cancer receiving tamoxifen[].The Journal of The American Association of Gynecologic Laparoscopists.1999
  • 3Deligdisch L.Hormonal pathology of the endometrium[].Modern Pathology.2000
  • 4Gebauer G,Hafner A,Siebzehnrubl E,et al.Role of hysteroscopy in detection and extraction of endometrial polyps: results of a prospective study[].American Journal of Obstetrics and Gynecology.2001
  • 5Cravello L,Stolla V,Bretelle F,et al.Hysteroscopic resection of endometrial polyps: a study of 195 cases[].European Journal of Obstetrics and Gynecology.2000

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