摘要
目的 观察子宫内膜息肉采用宫腔镜电切术联合传统刮宫术治疗的临床效果及复发率。方法 回顾2018年3月-2023年3月我院收治的60例子宫内膜息肉患者,其中29例接受传统刮宫术治疗列为对照组,31例接受宫腔镜电切术联合传统刮宫术治疗的为观察组,对两组术后月经情况、子宫内膜厚度、并发症及复发情况进行比较。结果 与对照组相较,观察组术后月经期更短、月经量更少,子宫内膜厚度更低,而并发症及复发率更低,差异均有统计学意义(P<0.05)。结论 子宫内膜息肉采用宫腔镜电切术联合传统刮宫术治疗的临床效果较佳,可促进患者月经及子宫内膜的恢复,减少并发症,降低复发率,临床应用价值高。
关键词: 宫腔镜电切术;传统刮宫术;治疗;子宫内膜息肉;临床效果;复发率
Abstract
Objective: To observe the clinical efficacy and recurrence rate of endometrial polyps treated with hysteroscopic resection combined with traditional curettage. Method: A retrospective study was conducted on 60 patients with endometrial polyps admitted to our hospital from March 2018 to March 2023. Among them, 29 patients received traditional curettage as the control group, and 31 patients received hysteroscopic resection combined with traditional curettage as the observation group. The postoperative menstrual status, endometrial thickness, complications, and recurrence of the two groups were compared. Result: Compared with the control group, the observation group had shorter postoperative menstrual periods, less menstrual flow, lower endometrial thickness, and lower rates of complications and recurrence, with statistical significance (P<0.05). Conclusion : The clinical effect of using hysteroscopic resection combined with traditional curettage for the treatment of endometrial polyps is better, which can promote the recovery of menstruation and endometrium, reduce complications, lower recurrence rate, and has high clinical application value.
Key words: Hysteroscopic electrocautery; Traditional curettage surgery; Treatment; Endometrial polyps; Clinical effects; Recurrence rate
参考文献 References
[1] 文雯,涂晓娟,马永毅,等. 不孕症患者子宫内膜息肉发生风险因素及其对助孕结局影响的研究 [J]. 陆军军医大学学报, 2024, 46 (08): 886-893.
[2] 陈美霞,张雪刚. 宫腔镜下电切术对子宫内膜息肉患者月经恢复情况、手术情况及性生活满意度的影响 [J]. 基层医学论坛, 2023, 27 (16): 139-141.
[3] 方伟伟,关蕴璇,彭秀敏. 子宫内膜息肉宫腔镜电切手术效果及生活质量研究 [J]. 中国妇幼保健, 2024, 39 (11): 2122-2125.
[4] 王泉梅,赵倩. 子宫内膜息肉患者宫腔镜术后自然妊娠的影响因素探讨 [J]. 浙江创伤外科, 2024, 29 (01): 22-25.
[5] 蔡蓉蓉. 宫腔镜电切术治疗子宫内膜息肉的临床效果 [J]. 实用妇科内分泌电子杂志, 2023, 10 (33): 35-37.
[6] 张晓玲. 宫腔镜电切术治疗子宫黏膜下肌瘤和子宫内膜息肉的有效性分析 [J]. 中外医疗, 2023, 42 (17): 83-87.
[7] 李俊,万姗姗. 宫腔镜下电切术治疗子宫内膜息肉对Ki-67受体表达情况及病情复发的影响 [J]. 黑龙江医学, 2024, 48 (10): 1165-1167.
[8] 张俊航,周新华,仝玉珠. 宫腔镜下电切术治疗子宫内膜息肉的临床疗效与安全性分析 [J]. 深圳中西医结合杂志, 2023, 33 (10): 89-91.
[9] 汪韬,颜为红,马超,等. 刮宫术联合宫腔镜电切术治疗多发性子宫内膜息肉患者的疗效分析 [J]. 当代医学, 2022, 28 (15): 84-87.
[10] 高雪晴,张艳,高巍. 宫腔镜电切术与刮宫术联合治疗多发性子宫内膜息肉的疗效研究 [J]. 中国医药指南, 2021, 19 (12): 85-86.