To Compare the Effects of Hysteroscopic Resection after Fenestration and Direct Resection on the Reproductive Function of Patients with Submucous Myoma of Uterus
Objective To analyze the effects of hysteroscopic electrotomy and direct resection on the reproductive func-tion of patients with submucous myoma of uterus.Methods 110 patients with submucous myoma of uterus were enrolled,55 patients in the control group and 55 patients in the experimental group were designed by complete randomization.The control group was given the direct resection method of hysteroscopic electrotomy(Shorthand:direct excision method),while the experi-mental group was given the resection method after opening the window of hysteroscopic electrotomy(Shorthand:fenestration).The changes of ovarian function related indexes,the incidence of intrauterine adhesion and pregnancy status were compared between the two groups.Results There was no significant difference in ovarian function between the experimental group and the control group(P>0.05).The incidence of intrauterine adhesions in the experimental group was 9.09%,3.64%and 0.00%at 1,3 and 6 months after operation,which was lower than that in the control group(23.64%,14.55%and 9.09%)(P<0.05).The incidence of intrauterine adhesions in the experimental group was 0.00%12 months after operation,which was lower than that in the control group(3.64%),with no significant difference(P>0.05).The pregnancy rate in the experimental group was 58.18%,which was higher than that in the control group(32.73%).The incidence of complications in the experimental group was 3.64%,which was lower than that in the control group(14.55%)(P<0.05).The first pregnancy time after operation in the experimental group was(15.82 3.48)months,which was not significantly different from that in the control group(16.13 3.45)months(P>0.05).Conclusion Hysteroscopic resection of submucous myoma after fenestration is more effective than direct re-section,which can effectively improve its reproductive function and reduce the incidence of complications,which is beneficial to prognosis and worthy of popularization and application.
submucous myoma of uterusHysteroscopic electrotomyWindow resectionDirect excisionFertility function
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