摘要
目的:分析用宫腔镜下子宫内膜电切术治疗多发性子宫内膜息肉的临床效果。方法:将近年来四川省成都市金牛区金建人民医院妇产科收治的54例多发性子宫内膜息肉患者随机分为对照组和观察组。采用宫腔镜下刮宫术对对照组患者进行治疗,采用宫腔镜下子宫内膜电切术对观察组患者进行治疗,然后对比两组患者的各项手术指标、术后阴道流血的发生情况、病情的复发情况、再次妊娠的情况及术后的月经量。结果:观察组患者术后阴道流血的发生率及病情的复发率均低于对照组患者,其再次妊娠率高于对照组患者,其在手术结束90 d后、180 d后及360 d后当月平均的月经量均少于对照组患者,P<0.05。结论:对多发性子宫内膜息肉患者采用宫腔镜下子宫内膜电切术进行治疗的效果确切,可显著降低其术后并发症的发生率和病情的复发率,促进其月经量及生育功能恢复正常。
objective： to analyze the clinical effect of hysteroscopic endometrial electrotomy in the treatment of multiple endometrial polyps. Methods： 54 patients with multiple endometrial polyps admitted to the department of obstetrics and gynecology of jinjian people＇s hospital, jinniu district, chengdu city, sichuan province were randomly divided into control group and observation group. The patients in the control group were treated with hysteroscopy curettage, and the patients in the observation group were treated with hysteroscopy endometriosis. Then, the surgical indicators, the occurrence of postoperative vaginal bleeding, the recurrence of the disease, the second pregnancy and the postoperative menstrual volume were compared between the two groups. Results： the incidence of postoperative vaginal bleeding and the relapse rate of the patients in the observation group were lower than those in the control group, and the second pregnancy rate was higher than those in the control group. Conclusion： hysteroscopic endometrial electrotomy is effective in treating multiple endometrial polyps, which can significantly reduce the incidence of postoperative complications and recurrence rate, and promote the recovery of menstrual quantity and fertility.
作者
刘廷莲
Liu Tinglian(department of obstetrics and gynecology,jinjian people＇s hospital,jinniu district,chengdu city,sichuan province,chengdu,sichuan 610081)
作者简介
刘廷莲（1970-），女，四川资中人，本科学历，副主任医师，业务院长兼妇产科主任，研究方向：医疗管理及临床妇产科学
