首页|宫腔镜下电切术与刮宫术在治疗子宫内膜息肉所致的不孕症中的临床疗效对照研究

宫腔镜下电切术与刮宫术在治疗子宫内膜息肉所致的不孕症中的临床疗效对照研究

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目的 探讨宫腔镜下电切术与刮宫术在治疗子宫内膜息肉所致的不孕症中的临床疗效.方法 选取本院100例子宫内膜息肉不孕症患者为研究对象,按照随机数字表法分为两组,各50例.电切组采用宫腔镜下电切术治疗,刮宫组采用刮宫术治疗,比较两组治疗效果.结果 电切组患者手术时间、住院时间均短于刮宫组,术中出血量低于刮宫组(P<0.05).电切组患者术后并发症发生率低于刮宫组(P<0.05).电切组患者随访1年内的妊娠率高于刮宫组(P<0.05).结论 宫腔镜下电切术治疗子宫内膜息肉优势明显,术中出血量较低,术后并发症发生率低,对患者的生育能力影响较小,建议推广与应用.
A comparative study on the clinical efficacy of hysteroscopic resection and curettage in the treatment of infertility caused by endometrial polyps
Objective To explore the clinical efficacy of hysteroscopic resection and curettage in the treatment of infertility caused by endometrial polyps.Methods 100 patients with infertility caused by endometrial polyps in our hospital were selected as the research subjects.They were randomly divided into two groups using a random number table method,with 50 cases in each group.The electrocautery group was treated with hysteroscopic resection,while the curettage group was treated with curettage.The therapeutic effects of the two groups were compared.Results The surgical time and hospitalization time of patients in the electrocautery group were shorter than those in the curettage group,and the intraoperative blood volume was lower than that in the curettage group(P<0.05).The incidence of postoperative complications in the electrocautery group was lower than that in the curettage group(P<0.05).The pregnancy rate within one year of follow-up in the electrocautery group was higher than that in the curettage group(P<0.05).Conclusion Hysteroscopic electrocautery has significant advantages in treating endometrial polyps,with low intraoperative bleeding,low incidence of postoperative complications,and minimal impact on patient fertility.It is recommended to promote and apply it.

Hysteroscopic electrocauteryCurettage and curettage surgeryTreatmentInfertility caused by endometrial polypsClinical efficacy

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张家港市第五人民医院 妇产科,江苏 张家港 215621

宫腔镜下电切术 刮宫术 治疗 子宫内膜息肉不孕症 临床疗效

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(7)
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