首页|宫腔镜下冷刀切除术与宫腔镜双极电切术治疗宫腔粘连的临床效果对比

宫腔镜下冷刀切除术与宫腔镜双极电切术治疗宫腔粘连的临床效果对比

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目的 比较宫腔镜下冷刀切除术与宫腔镜双极电切术治疗宫腔粘连的临床效果.方法 选取本院122例宫腔粘连患者为研究对象,随机分为两组,各61例.对照组采用宫腔镜双极电切术,试验组采用宫腔镜下冷刀切除术,比较两组的手术相关情况、宫腔形态恢复状况、治疗效果及并发症发生情况.结果 试验组手术时间、住院时间短于对照组,术中出血量、膨宫液吸收量少于对照组(P<0.05);试验组宫腔形态恢复优良率、治疗总有效率高于对照组,并发症发生率低于对照组(P<0.05).结论 宫腔镜下冷刀切除术治疗宫腔粘连,可改善手术相关指标,提高治疗效果,减少并发症,值得推广.
Comparison of clinical effects between hysteroscopic cold knife resection and hysteroscopic bipolar electrocautery in the treatment of uterine adhesions
Objective To compare the clinical effects of hysteroscopic cold knife resection and hysteroscopic bipolar electrocautery in the treatment of intrauterine adhesions.Methods 122 patients with intrauterine adhesions in our hospital were selected as the study subjects and randomly divided into two groups,with 61 cases in each group.The control group underwent hysteroscopic bipolar resection,while the experimental group underwent hysteroscopic cold knife resection.The surgical related conditions,recovery of uterine cavity morphology,treatment effectiveness,and incidence of complications were compared between the two groups.Results The experimental group had shorter surgical time and hospital stay compared to the control group,with less intraoperative bleeding and absorption of uterine distension fluid compared to the control group(P<0.05);The excellent recovery rate of uterine cavity morphology and the total effective rate of treatment in the experimental group were higher than those in the control group,and the incidence of complications was lower than that in the control group(P<0.05).Conclusion Hysteroscopic cold knife resection for the treatment of intrauterine adhesions can improve surgical related indicators,enhance treatment effectiveness,and reduce complications,which is worth promoting.

Hysteroscopic cold knife resection surgeryHysteroscopic bipolar resectionUterine adhesionsTreatment effect

王晓芳

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江苏省徐州市铜山区妇幼保健院妇产科,江苏徐州 221116

宫腔镜下冷刀切除术 宫腔镜双极电切术 宫腔粘连 治疗效果

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(5)
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