两种手术方式治疗子宫内膜息肉的临床对比分析研究

发布时间：2018-10-23 09:26

【摘要】：目的通过不同手术方式治疗子宫内膜息肉的疗效对比分析,探讨合适的治疗方法。方法选取2012年1月~2014年1月我院收治的子宫内膜息肉患者220例为研究对象,根据患者所选术式不同,将其分为宫腔镜电切手术(TCRP)组108例与传统刮宫术组112例。刮宫术组采用宫腔镜下使用型号适宜的刮匙搔刮并将息肉取出,然后使用负压抽吸进行全面清宫;宫腔镜电切术组在宫腔镜直视下使用环状电极将息肉底部切除,同样用负压全面吸宫。对两组手术后恢复的结果进行比较。结果两组患者治疗前月经量比较,差异无统计学意义(P0.05)。治疗后1年,两组患者月经量都较治疗前减少,宫腔镜下电切术组术后月经量低于刮宫术组,患者月经恢复正常更多,差异有统计学意义(P0.05)。术后一年内,刮宫术组复发15例,电切术组复发2例,差异有统计学意义(P0.05)。结论子宫内膜息肉患者应首选宫腔镜下子宫内膜息肉电切术,宫腔镜下电切术患者术后月经量减少更明显,月经正常率更高,复发率更低,对要求保留生育功能的患者不影响卵巢功能,术后妊娠率更高,预后效果更加理想,更加安全有效,值得临床推广应用。
[Abstract]:Objective to compare and analyze the therapeutic effects of different surgical methods on endometrial polyps. Methods 220 patients with endometrial polyps treated in our hospital from January 2012 to January 2014 were selected and divided into (TCRP) group (n = 108) and traditional curettage group (n = 112). The uterine curettage group used appropriate curette to scratch and remove the polyp under hysteroscope, and then used negative pressure suction to remove the polyp completely. The hysteroscopic electroresection group used a ring electrode to remove the bottom of the polyp under hysteroscopy. Also use negative pressure to fully absorb the palace. The results of recovery after operation were compared between the two groups. Results there was no significant difference in menstrual volume between the two groups before treatment (P0.05). One year after treatment, the menstrual volume of the two groups was lower than that before treatment. The menstrual volume in the hysteroscopic electroresection group was lower than that in the curettage group, and the menstruation of the patients returned to normal, the difference was statistically significant (P0.05). Within one year after operation, 15 cases recurred in curettage group and 2 cases in electroresection group, the difference was statistically significant (P0.05). Conclusion hysteroscopic resection of endometrial polyps is the first choice in patients with endometrial polyps. The menstrual volume of patients with endometrial polyps after hysteroscopy is decreased more obviously, the normal menstruation rate is higher and the recurrence rate is lower. The pregnancy rate is higher, the prognosis is more ideal, more safe and effective, so it is worth popularizing in clinic.
【作者单位】：河南省洛阳市供电公司卫生所;
【分类号】：R713.4

【相似文献】