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何焕群,梁善影,赵正云,刘丽燕,李燕.宫腔镜下电切和诊刮术治疗子宫内膜息肉疗效对比[J].中国医药科学,2019,(16):123-125        基金项目:
宫腔镜下电切和诊刮术治疗子宫内膜息肉疗效对比
Comparison of curative effects of hysteroscopic electric resection and diagnostic curettage in treatment of endometrial polyps
  
DOI:
中文关键词:  子宫内膜息肉;宫腔镜下电切术;诊刮术;治疗效果;月经量
英文关键词:Endometrial polyps; Hysteroscopic electric resection; Diagnostic curettage; Curative effects; Menstrual amount
作者单位
何焕群,梁善影,赵正云,刘丽燕,李燕 广东省佛山市南海区第六人民医院妇产科,广东佛山 528248 
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中文摘要:
      [摘要] 目的 为了提高在子宫内膜息肉方面的治疗优势,分析宫腔镜下电切和诊刮术两种治疗方案的疗效差异。 方法 按照随机原则的相关要求从 2014 年 11 月 1 日~ 2017 年 9 月 30 日在我院治疗的子宫内膜息肉患者中选取 198 例作为研究对象并通过奇、偶数法将其平均分为对照组 99 例和观察组 99 例,其中予以传统诊刮术治疗的患者设为对照组,接受宫腔镜下电切术方案治疗的患者设为观察组,比较两种治疗方案对术后月经量、预后指标的影响。 结果 本次研究结果显示,观察组患者术后 3、6、12 个月的月经量分别为(142.70±10.02)mL、(161.56±11.03)mL、(195.50±21.18)mL,而对照组患者术后 3、6、12 个月的月经量分别为(225.60±11.02)mL、(166.52±14.03)mL、(312.88±21.66)mL,和对照组比较,观察组患者术后不同时间点的月经量均明显减少且组间比较差异有统计学意义(P < 0.05);观察组患者术后 12 个月的复发率和妊娠率分别为 5(5.05%)、85(85.86%),对照组患者术后 12 月的复发率和妊娠率分别为 26(26.26%)、50(50.51%),与对照组比较,观察组患者术后复发率更低、妊娠率更高,组间比较差异有统计学意义(P < 0.05);观察组术后 6 个月的子宫内膜厚度小于对照组,血红蛋白水平高于对照组 , 差异有统计学意义(P < 0.05)。结论 子宫内膜息肉患者通过宫腔镜下电切术治疗,既在一定程度上减少了月经量,又预防了术后复发并提高了妊娠率,效果显著,值得推广。
英文摘要:
      [Abstract] Objective To improve the therapeutic advantages in endometrial polyps by analyzing the differences in curative effects of hysteroscopic electric resection and diagnostic curettage. Methods According to the relevant requirements of the random principle, 198 patients with endometrial polyps who were treated in our hospital from November 1, 2014 to September 30, 2017 were selected as the research objects. They were divided into the control group and the observation group by odd and even number method, with 99 cases in each group. Patients who were treated by traditional diagnostic curettage were set as the control group while patients treated by hysteroscopic electric resection were set as the observation group. The effects of two treatment regimens on postoperative menstrual amount and prognostic indexes were compared. Results The results showed that the menstrual amount of patients in the observation group was (142.70±10.02) mL, (161.56±11.03) mL and (195.50±21.18) mL in 3 months, 6 months and 12 months after operation, respectively. Those of patients in the control group was (225.60±11.02) mL, (166.52±14.03) mL and (312.88±21.66) mL, respectively. Compared with patients in the control group, the menstrual amounts of patients in the observation group was significantly reduced and differences between two groups were statistically significant (P < 0.05). The recurrence rate and pregnancy rate in the observation group were respectively 5 (5.05%) and 85 (85.86%) in 12 months after operation, while those in the control group were respectively 26 (26.26%) and 50 (50.51%). Compared with the control group, the recurrence rate in the observation group was lower and the pregnancy rate was higher. There were statistically significant differences between groups (P < 0.05). The endometrial thickness of the observation group was less than that of the control group in 6 months after operation and the hemoglobin level was higher than that of the control group. The difference was statistically significant (P < 0.05). Conclusion Hysteroscopic electric resection for patients with endometrial polyps not only reduces menstrual amount to a certain extent, but also prevents recurrence and improves pregnancy rate. The curative effect is significant and it is worth promoting.
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