摘要
[目的]探讨宫腔镜电切术在子宫内膜息肉（endometrial polyps,EP）手术中的疗效及安全性.[方法]选择2009年1月至2013年1月本院行宫腔镜电切术EP患者85例作为治疗组;选择同期在我院行宫腔镜下刮宫术的EP患者73例作为对照组.对比两组术中并发症、术中出血、手术时间及疗效.[结果]治疗组：手术时间：8～20 min,平均（13.6±3.0）min,出血量10～30mL,平均（19.7±4.9）mL.对照组：手术时间：9～35min,平均（20.0±6.4）min,出血量30～50mL,平均（37.4±4.8）mL.两组手术时间、出血量差异有统计学意义（P＜0.05）.术中两组均无子宫穿孔、低钠血症、气栓、术中术后大出血、电热损伤等并发症发生.随访时间：9个月～4年,两组在复发率、月经量改变、贫血症状改善等情况差异显著（P＜0.05）.[结论]宫腔镜电切术用于治疗EP的效果较好.可明显减少EP术后复发.并且术后能明显纠正贫血,改善月经量,恢复子宫正常形态,且副反应小,治疗彻底.
[Objective] To discuss the cure effect and safety of endometrial polyps（EP） treated with hysteroscope electrocision.[Method] Select 85 of such cases with hysteroscope electrocision as treatment group,and another 73 cases with dilation and curettage as control one.Compare both complications,inoperation bleeding,time and effects.[Result] In treatment group,the operation time：8～20 min,（13.6±3.0）min in average,bleeding amount 10～30mL,（19.7±4.9）mL in average.Control group：operation time：9～35min,（20.0±6.4）min in average,bleeding amount 30～50mL,（37.4±4.8）mL in average.The difference had statistical meaning on operation time and bleeding amount.In operation,both groups had no uterus perforation,hyponatremia,air cock,hemorrhea in or after operation,electric heating injury or other complications.The follow-up time：9m～4y,both groups had marked difference on recurrence,menstruation and anemia relieve,etc.[Conclusion] The hysteroscope electrocision is the best method for EP,which can obviously reduce EP recurrence,and can correct anemia,improve menstruation,recover normal uterus shape,with little side effects and thorough treatment.
出处
《浙江中医药大学学报》
CAS
2014年第5期598-600,共3页
Journal of Zhejiang Chinese Medical University
关键词
EP
宫腔镜电切术
刮宫术
EP
hysteroscope electrocision
dilation and curettage
