宫腔镜电切术治疗子宫内膜息肉的临床研究

目的探讨宫腔镜电切术治疗子宫内膜息肉的的临床疗效。方法 100例子宫内膜息肉患者随机分为治疗组和对照组。对照组采用常规治疗,治疗组给予宫腔镜子宫内膜息肉切除术治疗,记录术中出血量和手术时间,并于术后3、6、12个月门诊随访月经量,术后12、24个月门诊随访息肉复发情况。结果两组手术均获成功,手术成功率100%。治疗组术中出血量和手术时间均低于对照组,差异有统计学意义(t=13.719,10.180,P﹤0.05)。治疗组和对照组术后6、12个月经量与术前比较明显减少,差异有统计学意义(t=10.885,10.827;8.164,7.775;13.062,11.874,P﹤0.05);治疗组术后6个月、12个月经量与对照组比较比较明显减少,差异有统计学意义(t=10.527,10.046,P﹤0.05);治疗组术后12、24个月复发率均显著低于对照组,差异有统计学意义(t=6.984,7.473,P﹤0.05)。结论宫腔镜电切术治疗子宫内膜息肉临床疗效好,具有术中出血量少、手术时间短和术后复发率低等优点,值得临床推广应用。

Clinical study of hysteroscopic electrocision in treatment of patients with endometrial polyps

OBJECTIVE To investigate the clinical efficacy of hysteroscopic electrocision in treatment of patients with endometrial polyps. METHODS 100 cases of patients with endometrial polyps were randomly divided into treatment group and control group, The control group’s patients were given the conventional therapy, and the treatment group’s patients were given the hysteroscopic electrocision therapy. The clinical efficacy was observed after treatment for 3 courses, the occurrence of adverse events was recorded for 6-month follow-up. The blood loss and operative time were recorded, the menstrual flow was recorded in postoperative 3, 6 and 12 months through the outpatient follow-up. The recurrence of endometrial polyps was recorded in postoperative12, 24 months through the outpatient follow-up. RESULTS The operations of th two were successful, and the surgical success rate was 100%. The blood loss and operative time of the treatment group were lower than the control group (t = 13.719, 10.180, P﹤0.05). The menstrual flow of the treatment group and control group in postoperative 6 and12 months was significantly reduced, compared with the preoperative menstrual flow (t = 10.885 and 10.827; 8.164 and 7.775; 13.062 and 11.874, P﹤0.05); The menstrual flow of the treatment group in postoperative 6 and 12 months was significantly reduced compared with the control group (t = 10.527 and 10.046, P﹤0.05); The recurrence of endometrial polyps of treatment group in postoperative 12 and 24 months was significantly lower than the control group (t = 6.984, 7.473, P﹤0.05). CONCLUSION The hysteroscopic electrocision in treatment of patients with endometrial polyps has good clinical efficacy, less blood loss, shorter operative time and postoperative recurrence rate. The hysteroscopic electrocision is worthy of clinical application.