宫腔镜引导选择性内膜切除子宫内膜息肉的综合疗效及复发率观察  

Therapeutic effect and recurrence rate of hysteroscopy guided selective endometrial resection of endometrial polyps

作　　者：庄文月 左欣[1] 朱红娣[1] 

机构地区：[1]宜兴市人民医院妇产科,江苏宜兴214200

出　　处：《中国计划生育和妇产科》2017年第7期44-47,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的研究宫腔镜下选择性内膜切除术治疗子宫内膜息肉(endometrial polyps,EP)的综合疗效及对复发率的影响。方法选取宜兴市人民医院2014年1月至2015年8月收治的EP患者108例,根据采用的手术方法分为对照组和观察组,每组各54例,对照组患者行宫腔镜下刮匙刮除术治疗,观察组患者行宫腔镜下选择性内膜电切除术治疗。比较两组患者的手术效果、月经恢复情况、疗效、术后妊娠率及复发率。结果两组患者围手术各项指标比较差异无统计学意义(P>0.05);观察组术后3、6、12个月的月经量[(51.03±5.28)mL、(44.92±4.78)mL、(40.66±4.83)mL]均少于对照组[(60.12±5.45)mL、(56.75±5.14)mL、(54.28±5.26)mL](P<0.05);治疗总有效率(96.30%)高于对照组(83.33%)(P<0.05);术后12个月的复发率(7.41%)低于对照组(29.63%)(P<0.05);两组术后6、12个月的妊娠率比较差异无统计学意义(P>0.05)。结论宫腔镜下选择性内膜切除术治疗EP能明显提高疗效,促进术后月经恢复正常,降低术后复发率,是一种安全可靠的手术方案。Objective To study the therapeutic effect and recurrence rate of hysteroscopy guided selective endometrial resection of endometrial polyps （EP）. Methods 108 patients with EP in Yixing People＇ s Hospital from January 2014 to August 2015 were selected and divided into control group and observation group with 54 cases in each group according to different surgical methods. The patients in the control group underwent hysteroscopic curette curettage, and the patients in the observation group underwent selective endometrial ablation under hysteroscope. Compared the recovery of menstruation, pregnancy rate, recurrence rate and postoperative curative effect of the two groups. Results There was no significant difference between the two groups in the perioperative indexes （ P 〉 0. 05 ）. The menstrual blood volume of observation group 3 months, 6 months and 12 months after surgery [ （51.03 ± 5.28 ）mL, （44. 92 ± 4.78 ） mL, （ 40. 66 ± 4. 83 ） mL ] were significantly lower than that of the control group [ （ 60. 12 ± 5.45 ） mL, （ 56. 75 ± 5.14 ） mL,（54. 28 ±5.26）mL] （P 〈0.05）. The total efficiency of the observation group （96. 30 % ） was significantly higher than that of the control group （ 83.33 % ） （ P 〈 0.05 ） ;The recurrence rate 12 months after surgery of the observation group was significantly lower than that of the control group（P 〈 0.05 ） ;The pregnancy rate of the two groups 6 months and 12 months after surgery had no significant difference （P 〉 0. 05 ）. Conclusion Hysteroscopic selective endometrial resection of endometrial polyps can significantly improve the efficacy,promote postoperative menstruation return to normal, while reducing the rate of postoperative recurrence. It is a safe and reliable operation program.

关 键 词：宫腔镜 选择性内膜切除术 子宫内膜息肉 综合疗效 

分 类 号：R713.4[医药卫生—妇产科学]