宫腔镜电切术治疗子宫内膜息肉的 疗效及安全性研究

Clinical effect and safety of hysteroscopic electrotomy in the treatment of endometrial polyps

摘要:

目的 观察宫腔镜电切术治疗子宫内膜息肉的临床疗效及其安全性。方法 选取2016 年12 月— 2018 年9 月马鞍山市妇幼保健院接收的100 例子宫内膜息肉的患者，依据手术方法分为观察组与对照组，对 照组采用宫腔镜后定位诊刮术，观察组采用宫腔镜电切术，比较各组的临床疗效。结果 对照组术中出血量、 手术时间及住院时间均高于观察组（P <0.05），对照组术后并发症发生率高于观察组（P <0.05），观察组手术 疗效总有效率高于对照组（P <0.05）。结论 宫腔镜电切术能够减少术中出血，缩短手术时间与住院时间，降 低患者术后并发症的发生率，提高临床手术效果。

Abstract:

Objective To observe the clinical effect and safety of hysteroscopic electrotomy in the treatment of endometrial polyps. Methods From December 2016 to September 2018, 100 patients with endometrial polyps were enrolled in our hospital. The observation group and the control group were divided into 50 cases according to the operation method. The control group was treated with hysteroscopy and curettage, while the observation group was treated with hysteroscopy and electrotomy. Results The amount of bleeding in the control group was higher than that in the observation group (P < 0.05). The incidence of complications in the control group was higher than that in the observation group (P < 0.05). The operative effect in the observation group was higher than that in the control group (P < 0.05). Conclusions Hysteroscopic electrotomy can reduce intraoperative bleeding, shorten the operation time and hospital stay, reduce the incidence of postoperative complications, improve the clinical effect of surgery, and can be applied in clinic.