宫腔镜下不同方式治疗子宫内膜息肉不孕的临床效果评价

目的：分析宫腔镜下不同方式治疗子宫内膜息肉不孕的临床效果。方法选取本院2012年3月~2013年3月收治的56例子宫内膜息肉不孕患者作为研究对象，按照不同的手术方式将其分为观察组和对照组，各28例。观察组采用宫腔镜下电切术进行治疗，对照组采用刮宫术进行治疗，分析并比较两种手术方式的疗效。结果两组的手术时间、术中出血量及住院时间比较，差异无统计学意义（P〉0.05）；观察组的复发率显著低于对照组，差异有统计学意义（P〈0.05）；观察组术后的月经量显著少于术前，且明显少于对照组，差异有统计学意义（P〈0.05）。结论宫腔镜下电切术和刮宫术治疗子宫内膜息肉不孕，均取得较好疗效，但是宫腔镜下电切术的复发率较低，值得临床推广应用。

Clinical effect assessment of different methods under hysteroscope in the treatment of endometrial polyps induced infertility

Objective To analyze the clinical effect of different methods under hysteroscope in the treatment of en-dometrial polyps induced infertility. Methods 56 patients with endometrial polyps induced infertility in our hospital from March 2012 to March 2013 were selected as research objects and divided into observation group and control group according to different surgical methods,28 cases in each group.Hysteroscopic electrotomy was used in observation group,dilation and curettage was used in control group.The effect of two surgical methods was analyzed and compared. Results The surgical time,the amount of bleeding during surgery and hospitalization time between the two groups was compared respectively,with no statistical difference（P〉0.05）.Relapse rate in the observation group was significantly low-er than that in the control group,with statistical difference （P〈0.05）.Menstrual volume in the observation group after the surgery was significantly lower than that before the surgery and also significantly lower than that after the surgery in the control group,with statistical difference （P〈0.05）. Conclusion Hysteroscopic electrotomy and dilation and curettage in the treatment of endometrial polyps have favorable curative effects.Hysteroscopic electrotomy has a lower relapse rate and it is worthy of clinical promotion and application.