宫腔镜下电切术与刮宫术治疗子宫内膜息肉的临床效果对比

摘要

目的：比较宫腔镜下电切术与刮宫术治疗子宫内膜息肉的临床效果。方法选取2012年1月至2014年1月本院收治的子宫内膜息肉患者100例为研究对象，按就诊顺序编号分为观察组和对照组，每组各50例。观察组患者采用宫腔镜下电切术治疗，对照组患者采用宫腔镜下刮宫术治疗，比较两组患者的手术情况、临床治疗效果和不良反应发生情况。结果所有患者均顺利完成手术，两组患者手术时间、术中出血量和住院时间比较差异均无显著性（P＞0.05）。两组患者治疗前月经量比较差异无显著性（P＞0.05），治疗后3个月两组患者月经量较治疗前均明显减少，观察组明显少于对照组（P＜0.05）。观察组月经正常率和症状缓解率高于对照组，子宫内膜息肉复发率低于对照组（P＜0.05）。观察组患者不良反应发生率低于对照组，但差异无显著性（P＞0.05）。结论宫腔镜下刮宫术与电切术均为治疗子宫内膜息肉的有效术式，但宫腔镜下电切术可显著缓解症状，术后复发率较低，不良反应较少，可作为子宫内膜息肉的首选治疗术式。%ObjectiveTo compare the clinical effects of hysteroscopic electrocision and dilatation curettage for the treatment of endometrial polyps.Method100 patients with endometrial were selected as research objects in our hospital from January 2014 to January 2012, according to the order of the medical treatment, they were divided into observation group and control group, 50 cases in each group. Observation group patients were treated with hysteroscopic electrocision, control group patients were treated with hysteroscopic dilatation and curettage. The operation conditions, clinical effects and adverse reactions of the two groups were compared.ResultAll patients were successfully completed the surgery, and there were no signiifcant differences in operation time, bleeding volume and length of hospital stay between the two groups (P>0.05). There was no signiifcant difference in menstrual volume before the treatment in the two groups (P>0.05). 3 months after treatment, with menstrual volume of the two groups patients were significantly decreased, observation group was significantly less than control group (P<0.05). The normal rate and symptom remission rate of observation group were higher than control group, the recurrence rate of endometrial polyps was lower than control group (P<0.05). The incidence of adverse reactions in observation group was lower than control group, but the difference was not significant (P>0.05).ConclusionHysteroscopic electrocision and dilatation and curettage are effective procedure for the treatment of endometrial polyps, but hysteroscope electrocision can signiifcantly relieve the symptoms, postoperative recurrence rate is low, less adverse reaction, can be used as the ifrst choice in the treatment of endometrial polyps.