摘要
目的分析宫腔镜在宫腔胚物残留治疗中的临床价值。方法选取106例宫腔胚物残留患者,采用随机数字表法分为对照组与研究组,每组53例。对照组实施传统清宫术治疗,研究组实施宫腔镜辅助治疗。对比两组患者临床指标、术后恢复情况及术后并发症发生情况。结果研究组患者一次手术成功率明显高于对照组,且手术时间、住院时间均明显短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组患者人绒毛膜促性腺激素(HCG)恢复时间、术后阴道异常出血消失时间、月经恢复正常时间均明显短于对照组,差异有统计学意义(P<0.05)。研究组患者并发症发生率为7.55%,明显低于对照组的22.64%,差异有统计学意义(P<0.05)。结论宫腔胚物残留患者实施宫腔镜辅助治疗优势明显,可有效提升手术成功率,缩短手术时间,且安全性较高。医生于临床中可根据具体情况进行最佳治疗方式的选择,以此提升治疗有效性。
Objective To analyze the clinical value of hysteroscopy in the treatment of uterine embryo residue.Methods 106 patients with uterine cavity embryo residue were selected and divided into control group and study group by random number table method,with 53 patients in each group.The control group was treated with traditional uterine clearance,and the research group was treated with hysteroscopic assisted therapy.The clinical indicators,postoperative recovery and postoperative complications of the two groups were compared.Results The success rate of one operation in the study group was significantly higher than that in the control group,and the operation time and hospital stay were significantly shorter than that in the control group,and the intraoperative blood loss was less than that in the control group,the difference was statistically significant(P<0.05).The recovery time of human chorionic gonadotropin(HCG),the disappearance time of abnormal postoperative vaginal bleeding and the return time of menstruation in the study group were significantly shorter than those in the control group,with statistical significance(P<0.05).The complication rate in the study group was 7.55%,which was significantly lower than that in the control group(22.64%),and the difference was statistically significant(P<0.05).Conclusion Hysteroscopic assisted therapy for patients with uterine embryo residue has obvious advantages,which can effectively improve the success rate of surgery,shorten the operation time,and has high safety.In clinical practice,doctors can choose the best treatment mode according to the specific situation,so as to improve the efiectiveness of treatment.
作者
刘增辉
Liu Zenghui(Department of Obstetrics and Gynecology,Qinghe Central Hospital,Xingtai 054800,China)
出处
《实用妇科内分泌电子杂志》
2021年第11期35-37,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫腔胚物残留
宫腔镜
刮宫术
Intrauterine embryo residue
Hysteroscopy.Curettage surgery
