摘要
目的探讨宫腔镜电切术治疗育龄期子宫内膜息肉的效果,以及对患者妊娠结局和复发的影响。方法选取2019年1月—2021年1月在宁德师范学院附属宁德市医院进行治疗的育龄期子宫内膜息肉患者120例,所有患者以随机数字表法分为传统手术组和宫腔镜电切组各60例。传统手术组行传统刮宫术治疗,宫腔镜电切组行宫腔镜电切术治疗。观察并比较两组手术所用时间、术间失血量、住院时间,随访12个月期间内的并发症发生率、复发率及妊娠率,以及术前和术后3个月、6个月、12个月的月经量和子宫内膜厚度。结果宫腔镜电切组患者手术所用时间较传统手术组短,术间失血量较传统手术组少,差异均有统计学有意义(P<0.05)。两组住院时间差异无统计学意义(P>0.05)。术后3个月、6个月、12个月宫腔镜电切组月经量较传统手术组少,子宫内膜厚度较传统手术组薄,差异均有统计学意义(P<0.05)。宫腔镜电切组患者并发症发生率及复发率较传统手术组低,宫腔妊娠率较传统手术组高,差异均有统计学意义(P<0.05)。结论宫腔镜电切术治疗育龄期子宫内膜息肉,具有手术时间短、术中出血量少等优势,且能够促进患者月经及子宫内膜恢复,减少并发症的发生及复发,改善妊娠结局。
Objective To explore the effectiveness of hysteroscopic resection in the treatment of endometrial polyps in women of childbearing age,as well as its impact on pregnancy outcomes and recurrence in patients.Methods A total of 120 women of childbearing age with endometrial polyps who were treated at Ningde Municipal Hospital of Ningde Normal University from January 2019 to January 2021 were selected.All patients were randomly divided into a traditional surgery group and a hysteroscopic resection group with 60 patients each,using a random number table method.The traditional surgical group underwent traditional curettage,while the hysteroscopic resection group underwent hysteroscopic resection.Observe and compare the operation time,intraoperative blood loss,hospital stay,complication incidence,recurrence rate,and pregnancy rate during the 12 months follow-up period,as well as menstrual volume and endometrial thickness before surgery and at 3,6,and 12 months after surgery between the two groups.Results The patients in the hysteroscopic resection group had significantly shorter operation time and less intraoperative blood loss compared to the traditional surgery group(P<0.05).There was no significant difference in hospital stay between the two groups(P>0.05).At 3 months,6 months,and 12 months after surgery,the menstrual volume in the hysteroscopic resection group was significantly lower than that in the traditional surgery group,and the endometrial thickness was significantly thinner than that in the traditional surgery group(P<0.05).The complication incidence and recurrence rate in the hysteroscopic resection group were significantly lower than those in the traditional surgery group,and the uterine pregnancy rate was significantly higher than that in the traditional surgery group(P<0.05).Conclusion Hysteroscopic resection in the treatment of endometrial polyps in women of childbearing age has the advantages of short operation time and low intraoperative bleeding,and can promote menstrual and endometrial recovery,reduce
作者
郑依祎
黄珊珊
ZHENG Yiyi;HUANG Shanshan(Department of Gynecology,Ningde Municipal Hospital of Ningde Normal University,Ningde 352100,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2023年第9期44-47,共4页
Chinese Practical Journal of Rural Doctor
关键词
子宫内膜息肉
育龄期
手术治疗
宫腔镜电切术
效果
妊娠
复发
Endometrial Polyps
Childbearing Age
Surgical Treatment
Hysteroscopic Resection
Effect
Pregnancy
Recrudescence
