摘要
目的:比较宫腔镜下子宫内膜息肉电切术和冷刀切除术的疗效及术后妊娠情况。方法:选取2015年6月—2018年6月本院收治的子宫内膜息肉不孕症患者90例,分为两组,45例行宫腔镜下子宫内膜息肉电切术,45例行宫腔镜下冷刀切除术,比较两组手术时间、术中出血量、住院时间,术后均随访1年,随访术后并发症、月经量、复发以及妊娠情况。结果:两组术中出血量、住院时间均无差异,两组术后不同时间复发率无差异(均P>0.05),冷刀组手术时间(16.6±3.3mm)及术后阴道出血时间(2.0±0.8d)少于电切组(25.9±3.5mm、5.3±1.1d),术后6、12个月妊娠率(64.4%、77.8%)均高于电切组(33.3%、57.8%)(均P<0.05)。两组术后均无并发症。结论:宫腔镜下冷刀切除子宫内膜息肉安全有效,减少手术时间及术后阴道出血时间,提高了术后妊娠率。
Objective:To compare the efficacy and pregnancy status after operation between hysteroscopic endometrial polyp electrocision and hysteroscopic endometrial polypectomy by cold knife.Methods:90 infertility women with endometrial polyp were selected and were divided into two groups from June 2015 to June 2018.45 women in group A had received hysteroscopic endometrial polyp electrocision,while 45 women in group B had received hysteroscopic endometrial polypectomy by cold knife.The operation time,intraoperative blood loss,and the time of hospital stay of women were compared between the two groups.The women in both groups were followed up for 1 year,the postoperative complications rate,menstrual volume,recurrence rate and pregnancy situation of women in the two groups were observed.Results:There were no significant difference in intraoperative blood loss,the time of hospital stay,and recurrence rate of women between the two groups(all P>0.05).The operative time and postoperative vaginal bleeding time of women in group B were 16.6±3.3m and 2.0±0.8d,which were significant shorter than those(25.9±3.5m and 5.3±1.1d)of women in group A.The pregnancy rates of women in group B in 6 and 12 months after operation were 64.4%and 77.8%,which were significant higher than those(33.3%and 57.8%)of women in group A(P<0.05).There was no any woman with postoperative complication in both groups.Conclusion:The hysteroscopic endometrial polypectomy by cold knife is effective and safety,which can reduce the time of operation and time of vagina bleeding,and also can increase pregnancy rate after operation.
作者
沈红雁
周秀芬
SHEN Hongyan;ZHOU Xiufen(Lu'an People's Hospital, Anhui province, 237005)
出处
《中国计划生育学杂志》
2020年第8期1201-1203,共3页
Chinese Journal of Family Planning
基金
浙江省医药卫生科技计划项目
安徽医科大学校科研基金项目。
关键词
子宫内膜息肉
宫腔镜下冷刀切除术
子宫内膜息肉电切术
妊娠
复发
Endometrial polyps
Hysteroscopic cold knife resection
Endometrial polyps electrocision
Pregnancy
Recurrence
