To observe the effect of hysteroscopic electrotomy and curettage on the clinical effect and pregnancy outcome of endometrial polyps with infertility
Objective To analyze the clinical efficacy and postoperative pregnancy outcomes of hysteroscopic electroresection and hysteroscopic curettage in the treatment of endometrial polyp(EP)with infertility.Methods 74 EP patients with infertility were selected and divided into two groups(37 cases each)according to random number table method.The control group was treated with hysteroscopic curettage,and the study group was treated with hysteroscopic electrotomy.The clinical efficacy and pregnancy outcome of the two groups were compared.Results There was no significant difference in blood loss,operation time and hospital stay between the two groups(P＞0.05).There was no significant difference in preoperative menstrual volume between the two groups(P＞0.05).The menstrual volume of the study group at 1 month and 6 months after surgery was(136.28±27.19)ml and(146.95±30.77)ml,respectively.They were all less than(201.39±26.98)ml and(209.39±32.29)ml in the control group(P＜0.05).The recurrence rate at 6 months and 12 months after operation in the study group was lower than that in the control group,and the pregnancy rate was higher than that in the control group(P＜0.05).Conclusion Hysteroscopic electrotomy is more effective than hysteroscopic curettage in improving menstruation,preventing recurrence and increasing postoperative pregnancy rate in EP patients with infertility.
万方数据
维普
