子宫内膜息肉宫腔镜下电切术与刮除术的疗效比较

目的:探讨宫腔镜下子宫内膜息肉电切术(TCRP)与宫腔镜定位下刮除术(HPCP)治疗子宫内膜息肉(EP)临床疗效.方法:对2008年2月至2011年8月行TCRP及HPCP患者152例进行分析,其中行TCRP 67例,行HPCP 85例,比较两种治疗方式术后复发情况,不孕患者妊娠情况及临床症状改善情况,随访6-42个月.结果:两种手术方法均能明显改善临床症状,TCRP术后不孕患者11例,妊娠7例；HPCP术后不孕患者8例,妊娠3例,比较无统计差异(x2=1.27,P＞0.05)；TCRP术后复发5例,复发时间(15.6±7.6)月,HPCP术后复发16例,复发时间(7.1±3.3)月,比较均有统计学差异(x2＝4.06,P＜0.05;t=3.41,P＜0.01).结论:TCRP术和HPCP术均能明显改善临床症状,采用TCRP术可降低EP复发率,延缓复发时问.

Comparison of Clinical Effect Between Hysteroscopic Resection and Curettage in the Treatment of Endometrial Polyps

Objective: To explore the clinical efficacy between hysteroscopic resection and curettage in the management of endometrial polyps.Methods: A total of 152 patients with endometrial polyps had received hysteroscopy transcervical resection of polyps(TCRP,n=67) and hysteroscopy positioning curettage of polyps(HPCP,n=85) from February 2008 to August 2011.The incidence of recurrence,infertility,pregnancy,and improvement in clinical symptoms were compared between the two groups.Results: Both groups had improved in clinical symptoms after treatment.There were 11 cases of infertility and 7 cases of pregnancy in TCRP group,while in HPCP group,there were 8 cases of infertility,3 cases of pregnancy,and showed no significant difference(χ2=1.27,P>0.05).Five cases in TCRP group were recurred after a mean time of(15.6±7.6) months,which was significantly different as compared with 16 cases and(7.1±3.3) months respectively in HPCP group(χ2=4.06,P<0.05;t=3.41,P<0.01).Conclusion: Both HPCP and TCRP can obviously improve the clinical symptoms,and as compared with HPCP,TCRP is superior in lower recurrence rate and longer recurrence time.