首页|宫腔镜下冷刀切除术联合戈舍瑞林治疗子宫内膜息肉的效果

宫腔镜下冷刀切除术联合戈舍瑞林治疗子宫内膜息肉的效果

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目的 探讨宫腔镜下冷刀切除术联合戈舍瑞林治疗子宫内膜息肉(EP)的效果.方法 选取2019年4月至2023年3月本院收治的60例EP患者,按照就诊奇偶顺序分为两组.对照组采用宫腔镜下电切术,观察组采用宫腔镜下冷刀切除术,两组术后均接受戈舍瑞林治疗.比较两组手术指标、PBAC评分、不良反应及妊娠率.结果 观察组手术时间短于对照组,术中出血量及术后阴道出血量少于对照组(P<0.05).术后,观察组PBAC评分低于对照组(P<0.05).观察组不良反应发生率低于对照组(P<0.05).观察组术后12个月妊娠率高于对照组(P<0.05).结论 宫腔镜下冷刀切除术联合戈舍瑞林治疗EP的效果理想,对机体创伤轻、安全性高,可提高患者妊娠率.
Effect of Hysteroscopic Cold Knife Resection Combined with Goserelin in the Treatment of Endometrial Polyps
Objective To explore the effect of hysteroscopic cold knife resection combined with goserelin in the treatment of endometrial polyps(EP).Methods 60 EP patients admitted to our hospital from April 2019 to March 2023 were selected and divided into two groups according to the parity order.The control group received hysteroscopic resection,while the observation group received hysteroscopic cold knife resection.Both groups was treated with goserelin after operation.The operation indicators,PBAC score,adverse reactions and pregnancy rate were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss and postoperative vaginal blood loss were less than those of the control group(P<0.05).After operation,the PBAC score of the observation group was lower than that of the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).The pregnancy rate at 12 months after operation in the observation group was higher than that in the control group(P<0.05).Conclusions Hysteroscopic cold knife resection combined with goserelin has ideal effect in the treatment of EP,with light trauma to the body and high safety,and can improve the pregnancy rate of patients.

HysteroscopeCold knife resectionGoserelinEndometrial polyps

王敬、李盼盼

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武陟县中医院妇产科,河南焦作 454950

宫腔镜 冷刀切除术 戈舍瑞林 子宫内膜息肉

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(9)