宫腔镜下不同方式治疗子宫内膜息肉的临床分析  

Clinical analysis of different therapies of endometrial polyps with hysteroscopy

作　　者：姚秀华[1] 张温麑[2] 黄卓敏[1] 张淑婷[2] 

机构地区：[1]广东省深圳市妇幼保健院,广东深圳518028 [2]广东省妇幼保健院,广东广州510010

出　　处：《中国当代医药》2010年第19期29-30,共2页China Modern Medicine

摘　　要：目的:探讨宫腔镜下不同术式治疗子宫内膜息肉的效果、并发症、复发率。方法:回顾性分析162例应用宫腔镜不同术式治疗子宫内膜息肉患者的临床资料。结果:3组患者均顺利完成手术,无一例并发症发生。在术后月经量变化中,单纯宫腔镜子宫内膜息肉切除术(TCRP)及TCRP加药物联合治疗后月经量均减少,与宫腔镜定位后刮宫术比较,差异有统计学意义。C组患者复发率低(6%)。不孕症行宫腔镜手术的28例患者中,术后成功妊娠13例。结论:3种方法治疗子宫内膜息肉均安全有效,其中单纯TCRP及TCRP加药物联合治疗效果较好,而宫腔镜定位后刮宫术术后复发率较高。宫腔镜手术去除内膜息肉可以明显提高子宫内膜息肉导致不孕症患者的妊娠率。Objetctive：To explore the effects,complications and recurrence rates of different therapies of endometrial polyps with hysteroscopy.Methods：Retrospective analysis of 162 cases with different surgical hysteroscopy for endometrial polyps in patients with clinical data. Results：3 groups of patients were successfully operated,with no complications.Variation in the postoperative period,the simple hysteroscopic resection of endometrial polyps（TCRP） and TCRP plus drugs in combination therapy to reduce menstrual,and hysteroscopy dilatation and curettage after location,the difference was statistically significant.C group patients with low recurrence rate（6%） .Infertility hysteroscopic surgery in 28 patients,13 cases after a successful pregnancy.Conclusion：3 methods for endometrial polyps are safe and effective,which simply TCRP and TCRP plus drug combination therapy is better,but after dilatation and curettage hysteroscopy locate a high recurrence rate.Hysteroscopic surgery to remove endometrial polyps can significantly improve the pregnancy rate of endometrial polyps lead to infertility.

关 键 词：宫腔镜 不同方式 子宫内膜息肉 

分 类 号：R711.74[医药卫生—妇产科学]