宫腔镜电切术治疗子宫内膜息肉的临床疗效分析-东南大学学报医学版

宫腔镜电切术治疗子宫内膜息肉的临床疗效分析

单位：1. 江苏省盐城市第一人民医院妇产科, 江苏盐城 224001;
2. 盐城市卫生技术学院护理学院, 江苏盐城 224005

分类号：R713.4

出版年·卷·期（页码）：2017·36·第五期（742-745）

摘要：

目的：探讨宫腔镜电切术治疗子宫内膜息肉的临床疗效及对血红蛋白等相关指标的影响。方法：选取2013年1月至2015年6月在我院治疗的子宫内膜息肉患者100例，将患者随机分为观察组（n=47）和对照组（n=53），观察组给予宫腔镜电切术，对照组给予传统的诊断性刮宫治疗，观察两组手术情况及血红蛋白变化。结果：观察组手术时间为（10.04±1.46） min，明显少于对照组（P<0.05）；观察组术后6个月和12个月月经失血图（PBAC）评分和内膜厚度均明显小于对照组（P<0.05），而血红蛋白明显高于对照组（P<0.05）；观察组复发率为6.38%，明显低于对照组的16.98%，差异有统计学意义（P<0.05）。结论：宫腔镜电切术治疗子宫内膜息肉效果好，能够显著改善患者临床症状，术后复发率低，值得推广使用。

Objective:To investigate the effect of hysteroscopy in the treatment of endometrial polyps. Methods:100 cases of endometrial polyps were selected in our hospital from January 2013 to August 2015, were randomly divided into observation group (n=47) and control group (n=53), the observation group was treated by hysteroscopy, and the control group was given the traditional treatment. The operation situation and hemoglobin changes were observed. Results:The operation time of the observation group was (10.04±1.46) min, significantly less than that of the control group (P<0.05). The pictorial blood loss assessment chart (PBAC) score and endometrial thickness in the observation group 6 months and 12 months after operation were significantly less than those in the control group (P<0.05), while the hemoglobin was significantly higher than that in the control group (P<0.05). The recurrence rate of observation group was 6.38%, which was significantly lower than that of control group, the difference was statistically significant (P<0.05). Conclusion:Hysteroscopy has good effect in the treatment of endometrial polyps, can significantly improve the clinical symptoms of patients, postoperative recurrence rate is low. It is worth popularizing.

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