首页|宫腔镜电切术治疗子宫内膜息肉致异常子宫出血患者的效果

宫腔镜电切术治疗子宫内膜息肉致异常子宫出血患者的效果

扫码查看
目的:探讨宫腔镜电切术治疗子宫内膜息肉致异常子宫出血患者的效果.方法:回顾性分析 2022 年 1-12 月该院收治的92 例子宫内膜息肉致异常子宫出血患者的临床资料,根据治疗方法不同将其分为对照组和研究组各 46 例.对照组采用宫腔镜下刮宫术治疗,观察组采用宫腔镜电切术治疗.比较两组临床疗效、术中出血量、手术时间、月经恢复正常时间、住院时间、并发症发生率及复发率.结果:观察组治疗总有效率为 95.65%(44/46),高于对照组的 76.09%(35/46),差异有统计学意义(P<0.05);观察组住院时间、手术时间、月经恢复正常时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 4.35%(2/46),低于对照组的 17.39%(8/46),差异有统计学意义(P<0.05).观察组复发率为 2.17%(1/46),对照组复发率为 8.70%(4/46),组间比较差异无统计学意义(P>0.05).结论:宫腔镜电切术治疗子宫内膜息肉致异常子宫出血患者可提高临床疗效,缩短手术时间、住院时间及月经恢复正常时间,减少术中出血量,降低并发症发生率,效果优于宫腔镜下刮宫术治疗.
Effects of hysteroscopic electrotomy in treatment of patients with abnormal uterine bleeding caused by endometrial polyps
Objective:To investigate effects of hysteroscopic electrotomy in treatment of patients with abnormal uterine bleeding caused by endometrial polyps.Methods:The clinical data of 92 patients with abnormal uterine bleeding caused by endometrial polyps admitted to this hospital from January to December 2022 were retrospectively analyzed.These patients were divided into control group and study group according to different treatment methods,46 cases in each group.The control group was treated with hysteroscopic curettage,while the observation group was treated with hysteroscopic electrotomy.The clinical effects,the intraoperative blood loss,the operation time,the menstrual recovery time,the hospitalization time,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The total effective rate of the observation group was 95.65%(44/46),which was higher than 76.09%(35/46)of the control group,and the difference was statistically significant(P<0.05).The hospitalization time,the operation time and the menstrual recovery time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.35%(2/46),which was lower than 17.39%(8/46)in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the observation group was 2.17%(1/46),and the recurrence rate of the control group was 8.70%(4/46),however,there was no significant difference between the two groups(P>0.05).Conclusions:Hysteroscopic electrotomy in the treatment of the patients with abnormal uterine bleeding caused by endometrial polyps can effectively improve the clinical effects,shorten the operation time,the hospitalization time and the menstrual recovery time,reduce the intraoperative blood loss,and reduce the incidence of complications.Moreover,it is superior to hysteroscopic curettage.

Hysteroscopic electrotomyEndometrial polypsCurettageUterine bleedingRecurrence rateClinical effect

柯学礼、宋银娟

展开 >

东莞市东城医院妇产科,广东 东莞 523000

宫腔镜电切术 子宫内膜息肉 刮宫术 子宫出血 复发率 临床疗效

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
  • 12