宫腔镜下电切术和传统清宫手术治疗胎物残留的效果对比

Comparison on the Effects of Hysteroscopic Electrotomy and Traditional Uterine Surgery for the Treatment of Fetal Residue

目的探讨宫腔镜下电切术和传统清宫手术治疗胎物残留的效果。方法 60例胎物残留患者按治疗方法分为两组各30例。A组行传统清宫手术治疗, B组行宫腔镜下电切术治疗,比较两组的治疗效果及并发症。结果 B组的一次手术成功率为100.00%,高于A组的76.67%(P <0.05)。B组的手术用时、住院天数和术中失血量均明显少于A组,术后阴道出血天数以及月经和血hCG恢复正常天数均少于A组(P <0.05)。B组的并发症发生率为13.33%,低于A组的43.33%(P <0.05)。结论宫腔镜下电切术治疗胎物残留的一次手术成功率较高,手术用时、住院天数和术中失血量均较少,患者恢复较快,且术后并发症较少。

Objective To explore the effects of hysteroscopic electrotomy and traditional uterine surgery for the treatment of fetal residue.Methods 60 cases of patients with fetal residue were divided into two groups according to the treatment methods,with 30 cases in each group.Group A was treated with traditional uterine surgery,and group B was treated with hysteroscopic electrotomy.The curative effect and complications were compared between two groups.Results The one-time success rate of group B was 100.00%,higher than76.67%of group A(P<0.05).The operation time,hospitalization time and intraoperative blood loss of group B were lower than those of group A,and the time of postoperative vaginal bleeding,time of menstruation return to normal,and time of blood hCG return to normal were shorter than those of group A(P<0.05).The incidence of complications of group B was 13.33%,significantly lower than 43.33%of group A(P<0.05).Conclusions Hysteroscopic electrotomy has a higher one-time success rate in the treatment of fetal residue,with shorter operation time and hospitalization time,less intraoperative blood loss,faster recover of patients,and fewer postoperative complications.