首页|宫腔镜下电切术治疗异常子宫出血的疗效观察

宫腔镜下电切术治疗异常子宫出血的疗效观察

扫码查看
目的 观察异常子宫出血患者实施宫腔镜下电切术治疗的临床疗效及手术安全性,以探讨临床治疗异常子宫出血的有效手术方法.方法 纳入2020年1月-2023年12月盐城市第三人民医院收治的异常子宫出血患者140例,随机分为对照组和观察组各70例,对照组患者给予常规刮宫术治疗,观察组患者给予宫腔镜下电切术治疗.比较两组患者手术优良率、手术时间、手术出血量、月经恢复正常时间及术后并发症发生率.结果 观察组手术优良率为100.00%,高于对照组的94.29%,差异有统计学意义(x2=4.117 6,P<0.05).观察组手术时间长于对照组,手术出血量少于对照组,月经恢复正常时间短于对照组,差异均有统计学意义(P<0.05).观察组术后并发症发生率为0.00%,低于对照组的5.71%,差异有统计学意义(x2=4.117 6,P<0.05).结论 异常子宫出血患者实施宫腔镜下电切术治疗的临床疗效较为明显,手术时间比较短,且术中患者出血少,患者术后月经恢复正常时间短,并发症发生率低,手术安全性较高,具有较高临床应用价值.
Observation on the curative effect of hysteroscopic electrotomy in the treatment of abnormal uterine bleeding
Objective To observe the clinical efficacy and surgical safety of hysteroscopic electrotomy for patients with abnormal uterine bleeding,and to explore the effective surgical methods for the clinical treatment of abnormal uterine bleeding.Methods A total of 140 patients with abnormal uterine bleeding admitted to Yancheng Third People's Hospital from January 2020 to December 2023 were included and randomly divided into control group and observation group with 70 cases in each group.The patients in the control group were given routine curettage treatment,and the patients in the observation group were given hysteroscopic electrotomy treatment.The surgical excellent rate,the surgical time,the surgical bleeding volume,the time for menses to return to normal and the incidence of postoperative complication between two groups were compared.Results The surgical excellent rate of the observation group was 100.00%,which was higher than that of the control group with 94.29%,and the difference was statistically significant(x2=4.117 6,P<0.05).The surgical time in the observation group was longer than that in the control group,the surgical bleeding volume was less than that in the control group,the time for menses to return to normal was shorter than that in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 0.00%,which was lower than 5.71%in the control group,and the difference was statistically significant(x2=4.117 6,P<0.05).Conclusion The clinical efficacy of hysteroscopic electrotomy for patients with abnormal uterine bleeding was relatively significant,and the surgical time was relatively short,the patients had less bleeding during the operation,the patients had short time to return to normal menstruation after the operation,the incidence of complications was low,and the operation safety was high,which had high clinical application value.

Abnormal uterine bleedingHysteroscopic electrotomyConventional curettageSurgical excellent ratePostoperative complication

王红梅、王一娜、蒋嫒

展开 >

盐城市第三人民医院妇科,江苏 盐城 224000

异常子宫出血 宫腔镜下电切术 常规刮宫术 手术优良率 术后并发症

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)