宫腔镜下子宫内膜息肉电切术治疗效果探讨
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摘要
目的对比应用宫腔镜电切术与传统刮宫术治疗子宫内膜息肉的疗效及安全性。方法将2016年2月—2018年4月本院收治的77例子宫内膜息肉患者随机分成观察组(40例)与对照组(37例),对照组行传统刮宫术治疗疾病,观察组则行宫腔镜辅助电切术治疗,观察两组手术治疗效果。结果治疗1个月、3个月,观察组患者经量明显低于治疗前及对照组治疗后(P <0.05);术后观察组并发症发生率为5.00%,明显低于对照组21.62%的发生率(P <0.05)。结论应用宫腔镜下电切术治疗子宫内膜息肉可以显著改善患者的月经量,降低术后患者并发症发生率。
Objective To compare the efficacy and safety of hysteroscopic resection and traditional curettage for endometrial polyps. Methods 77 patients with endometrial polyps admitted to our hospital from February2016 to April 2018 were randomly divided into observation group(40 cases) and control group(37 cases). The control group was given traditional curettage for disease treatment. The observation group was treated with hysteroscopy-assisted electrotomy, and the therapeutic effect of the two groups was observed. Results After 1 month and 3 months of treatment, the menstrual volume of patients in the observation group was significantly lower than that before treatment and after treatment in the control group(P < 0.05). The incidence of complications in the observation group was 5.00%, which was significantly lower than that in the control group(21.62%)(P < 0.05). Conclusion The application of hysteroscopic electrotomy in the treatment of endometrial polyps can significantly improve the amount of menstruation and reduce the incidence of postoperative complications.
Objective To compare the efficacy and safety of hysteroscopic resection and traditional curettage for endometrial polyps. Methods 77 patients with endometrial polyps admitted to our hospital from February2016 to April 2018 were randomly divided into observation group(40 cases) and control group(37 cases). The control group was given traditional curettage for disease treatment. The observation group was treated with hysteroscopy-assisted electrotomy, and the therapeutic effect of the two groups was observed. Results After 1 month and 3 months of treatment, the menstrual volume of patients in the observation group was significantly lower than that before treatment and after treatment in the control group(P < 0.05). The incidence of complications in the observation group was 5.00%, which was significantly lower than that in the control group(21.62%)(P < 0.05). Conclusion The application of hysteroscopic electrotomy in the treatment of endometrial polyps can significantly improve the amount of menstruation and reduce the incidence of postoperative complications.
引文
[1]邢海燕.宫腔镜下电切术配合球囊压迫止血治疗子宫内膜息肉临床分析[J].中国妇幼保健,2016,31(1):195-197.
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[6]赵小丽,王倩,吴小玲,等.宫腔镜下行电切术结合刮宫术治疗多发性子宫内膜息肉近远期疗效临床观察[J].陕西医学杂志,2018,47(6):748-750.
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[9]桂定清,戚瑞红,何玉华,等.宫腔镜下子宫内膜电切术联合刮宫术治疗多发性子宫内膜息肉的效果探讨[J].现代生物医学进展,2016,16(6):1121-1123.
[10]包飞飞,吴解清,杨凡,等.宫腔镜电切术在子宫内膜息肉手术中的85例疗效观察[J].浙江中医药大学学报,2014,38(5):598-600.
[11]王洁,陈晓娟,欧阳阳钢.宫腔镜下子宫内膜息肉电切术联合屈螺酮炔雌醇片预防子宫内膜息肉复发的疗效[J].中国妇幼保健,2017,32(16):3954-3956.
[12]刘芸.宫腔镜电切术与刮宫术对子宫内膜息肉患者月经期及经量的影响[J].实用临床医药杂志,2018,4(13):325-326.
[13]林红娣,余幼芬,沈军英.宫腔镜下刮宫术与电切术治疗子宫内膜息肉的疗效及对妊娠结局的影响[J].中国妇幼保健,2018,14(4):114-117.
[14]张冬梅,纪琼琼.宫腔镜下电切术与刮宫术治疗子宫内膜息肉的疗效比较[J].中国临床研究,2017,30(11):1536-1538.
[15]李梅,邓春霞,高立亚.宫腔镜电切治疗子宫内膜息肉105例临床分析[J].河北医学,2014,20(8):1355-1357.
[16]陈小蕾.宫腔镜治疗子宫内膜息肉患者的效果分析及复发预防研究[J].中国继续医学教育,2018,10(24):53-54.
[17]张蓉,马如霞,冯洁.宫腔镜下子宫内膜息肉切除术联合孕激素治疗子宫内膜息肉效果分析[J].临床和实验医学杂志,2018,17(10):1083-1085.
[2]崔婷,夏亚芳,高娟.宫腔镜电切术治疗子宫内膜息肉的临床疗效及安全性分析[J].江苏医药,2017,43(10):740-742.
[3]陈梅,马莉.宫腔镜子宫内膜息肉电切术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉[J].长春中医药大学学报,2016,32(2):396-398.
[4]刘运芬.宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的疗效对比[J].世界中医药,2017,14(a01):424.
[5]苏晶,张树丽,万晓慧.宫腔镜下子宫内膜息肉电切术后不同处理预防子宫内膜息肉复发的临床观察[J].新疆医科大学学报,2015,38(11):1407-1409.
[6]赵小丽,王倩,吴小玲,等.宫腔镜下行电切术结合刮宫术治疗多发性子宫内膜息肉近远期疗效临床观察[J].陕西医学杂志,2018,47(6):748-750.
[7]黄惠兰,朱彩容.宫腔镜下子宫内膜息肉电切术临床疗效分析[J].生殖医学杂志,2014,23(8):673-676.
[8]胡英,李娟,符免艾,等.宫腔镜下电切术与刮宫术对子宫内膜息肉不孕的疗效分析[J].河北医药,2017,39(8):1196-1198.
[9]桂定清,戚瑞红,何玉华,等.宫腔镜下子宫内膜电切术联合刮宫术治疗多发性子宫内膜息肉的效果探讨[J].现代生物医学进展,2016,16(6):1121-1123.
[10]包飞飞,吴解清,杨凡,等.宫腔镜电切术在子宫内膜息肉手术中的85例疗效观察[J].浙江中医药大学学报,2014,38(5):598-600.
[11]王洁,陈晓娟,欧阳阳钢.宫腔镜下子宫内膜息肉电切术联合屈螺酮炔雌醇片预防子宫内膜息肉复发的疗效[J].中国妇幼保健,2017,32(16):3954-3956.
[12]刘芸.宫腔镜电切术与刮宫术对子宫内膜息肉患者月经期及经量的影响[J].实用临床医药杂志,2018,4(13):325-326.
[13]林红娣,余幼芬,沈军英.宫腔镜下刮宫术与电切术治疗子宫内膜息肉的疗效及对妊娠结局的影响[J].中国妇幼保健,2018,14(4):114-117.
[14]张冬梅,纪琼琼.宫腔镜下电切术与刮宫术治疗子宫内膜息肉的疗效比较[J].中国临床研究,2017,30(11):1536-1538.
[15]李梅,邓春霞,高立亚.宫腔镜电切治疗子宫内膜息肉105例临床分析[J].河北医学,2014,20(8):1355-1357.
[16]陈小蕾.宫腔镜治疗子宫内膜息肉患者的效果分析及复发预防研究[J].中国继续医学教育,2018,10(24):53-54.
[17]张蓉,马如霞,冯洁.宫腔镜下子宫内膜息肉切除术联合孕激素治疗子宫内膜息肉效果分析[J].临床和实验医学杂志,2018,17(10):1083-1085.