摘要
目的:探讨有生育要求的子宫内膜息肉患者选择不同的治疗方式对疾病复发及患者妊娠的影响。方法:选取2016年1月-2017年10月本院收治的有生育要求的育龄期子宫内膜息肉患者64例,随机均分为四组,A组为宫腔镜定位刮宫术组,B组为宫腔镜下电切术组,C组为宫腔镜定位刮宫术+术后激素治疗组,D组为宫腔镜下电切术组+术后激素治疗组。观察并比较四组手术时间、术中出血量及膨宫液用量,并对所有患者术后进行为期1年的随访,记录其妊娠情况及复发情况。结果:四组的手术时间、术中出血量及膨宫液用量比较,差异均无统计学意义(P>0.05),四组复发率和妊娠率比较,其中D组的复发率(10.0%)最低,妊娠率(85.0%)最高,差异均有统计学意义(P<0.05)。结论:宫腔镜下电切术联合术后激素治疗的子宫内膜息肉患者术后的复发率最低,术后妊娠率最高,值得在临床上应用推广。
Objective:To explore the effects of different treatments on recurrence and pregnancy in patients with endometrial polyps with fertility requirements.Method:A total of 64 patients with endometrial polyps of childbearing age with fertility requirements were enrolled in our hospital from January 2016 to October 2017. They were randomly divided into four groups.Group A was treated with hysteroscopic local curettage,group B was treated with hysteroscopic electric resection,group C was treated with hysteroscopic curettage + postoperative hormone therapy,group D was treated with hysteroscopic resection + postoperative hormone therapy.The operation time,intraoperative blood loss and the amount of uterine fluid in four groups were observed and compared,and all patients were followed up for 1 year,and their pregnancy and recurrence were recorded.Result:There were no significant differences in the operation time,intraoperative blood loss and the amount of uterine fluid among four groups(P>0.05).However,the recurrence rate and pregnancy rate of four groups were compared,among which the recurrence rate(10.0%)of group D was the lowest and the pregnancy rate(85.0%)of group D was the highest,the differences were statistically significant(P<0.05).Conclusion:The hysteroscopic resection combined with postoperative hormone therapy for endometrial polyps has the lowest recurrence rate and the highest postoperative pregnancy rate,which is worthy of clinical application.
作者
莫劲思
苏宝兰
陈瑞芳
董小萍
陈仕欣
MO Jingsi;SU Baolan;CHEN Ruifang(Yangjiang People’s Hospital,Yangjiang 529500,China)
出处
《中国医学创新》
CAS
2019年第12期125-128,共4页
Medical Innovation of China
基金
阳江市科技计划项目(社发[2017]26)
关键词
子宫内膜息肉
宫腔镜
激素治疗
复发率
妊娠率
Endometrial polyps
Hysteroscopy
Hormone therapy
Recurrence rate
Pregnancy rate
