摘要
目的分析宫腔镜电切术治疗子宫内膜息肉致异常子宫出血的安全性及疗效。方法选择我院2010~2011年3月42例子宫内膜息肉致异常子宫出血的患者行宫腔镜电切术,为电切组;选择同期采用宫腔镜后定位诊刮术的42例患者为诊刮术组;宫腔镜下子宫内膜息肉摘除术的患者42例为内摘术组。所有患者术后均随访3~12个月,对治疗效果及复发率进行观察。结果电切术组显效25例,有效16例,总有效率97.62%;摘除术组显效13例,有效21例,总有效率为80.95%;刮宫术组显效12例,有效21例,总有效率78.57%,电切术组总有效率明显高于摘除术组与刮宫术组,复发率明显低于摘除术组与刮宫术组,组间比较差异具有显著性,有统计学意义（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疗效显著,且复发率低,具有较高的安全性。
Objective To analysis of the safety and efficacy of hysteroscopic electrosurgery treating abnormal uterine bleeding caused by endometrial polyps.Method 42 cases of abnormal uterine bleeding caused by endometrial polyps underwent hysteroscopic electrosurgery in our hospital from March 2010 to 2011 as TURP group.42 patients positioned curettage after hysteroscopic for the same period as curettage group.42 patients taken endometrial polyp excision under hysteroscopic as abstract surgery group.All patients were followed up for 3～12 months to observe the effects and relapse rates.Results In transurethral resection group,markedly effective in 25 cases,effective in 16 cases,total effective rate was 97.62%.In enucleation group,markedly effective in 13 cases,effective in 21 cases,total effective rate was 80.95%.In curettage group,markedly effective in 12 cases,effective in 21 cases,total effective rate was 78.57%.Total efficiency in transurethral resection group was significantly higher than the enucleation group and curettage group.While the recurrence rate in transurethral resection group was significantly lower than other groups.The difference between groups was significant（P0.05）.Conclusion The effect of hysteroscopic electrosurgery treating abnormal uterine bleeding caused by endometrial polyps is significant.The method has low recurrence rate and higher security.
出处
《现代诊断与治疗》
CAS
2012年第8期1114-1115,共2页
Modern Diagnosis and Treatment
关键词
宫腔镜电切术
子宫内膜息肉
异常子宫出血
疗效
Hysteroscopic electrosurgery
Endometrial polyps
Abnormal uterine bleeding
Curative effect
作者简介
作者简介：李静（1976-），女，宁夏人。本科，主治医师。研究方向：妇科内镜。
通讯作者
