宫腔镜下不同方式治疗子宫内膜息肉不孕患者的临床效果研究  

Clinical Effect of Hysteroscopic Treatment of Endometrial Polyps in Patients With Infertility

作　　者：齐丽华[1] 高金山[2] 

机构地区：[1]吉林省四平市中心人民医院妇产科,吉林四平136000 [2]吉林省四平市中心人民医院超声科,吉林四平136000

出　　处：《中国继续医学教育》2017年第24期134-135,共2页China Continuing Medical Education

摘　　要：目的探讨选择宫腔镜下不同方式对子宫内膜息肉不孕患者施治后获得的临床效果。方法选择我院2014年6月—2016年5月收治的63例子宫内膜息肉不孕患者作为实验对象;通过数字奇偶法分组,对照组(32例)选择宫腔镜下刮宫术疗法施治;观察组(31例)选择宫腔镜下电切术疗法施治;对比治疗效果。结果观察组31例子宫内膜息肉不孕患者中,1年后疾病复发患者2例(6.45%);1年后妊娠患者23例(74.19%);对照组32例子宫内膜息肉不孕患者中,1年后疾病复发患者19例(59.38%);1年后妊娠患者10例(31.25%);同对照组子宫内膜息肉不孕患者1年后复发率以及1年后妊娠率比较,观察组子宫内膜息肉患者改善程度均表现显著(χ2=22.910 8,11.641 6,P<0.05)。结论临床在开展子宫内膜息肉不孕治疗工作期间,选择宫腔镜下电切术施治,对于1年后复发率降低、1年后妊娠率提高以及月经量减少可以充分确保,从而优化子宫内膜息肉患者的预后能力。Objective To explore the clinical efect of hysteroscopy in the treatment of infertility patients with endometrial polyps. Methods From June 2014 to May 2016, 63 patients with endometrial polyps who were treated in our hospital were selected as the experimental subjects; By digital parity method group, the control group （32 cases） choose hysteroscopic curettage treatment, observation group （31 cases） choose hysteroscopic electric resection treatment, contrast treatment effect. Results In the observation group, 31 cases of endometrial polyps in infertility patients, 1 year after the recurrence of disease in 2 cases （6.45%）; After 1 year, 23 cases （74.19%） were pregnant; In the control group, 32 cases of endometrial polyps in infertility patients, 1 year after the recurrence of disease in 19 cases （59.38%）; 1 year after pregnancy, 10 cases （31.25%） were pregnant; Compared with the control group endometrial polyps infertility patients after 1 years of recurrence rate and 1 years after pregnancy rate, the observation group endometrial polyps patients improved significantly （χ2=22.910 8, 11.641 6, P 〈 0.05）. Conclusion In the course of clinical endometrial polyps infertility treatment, choice of hysteroscopic resection for treatment, reduce the relapse rate after 1 year, 1 year after the pregnancy rate increased and menstrual volume can be reduced sufciently, so as to optimize the prognostic ability of patients with endometrial polyps.

关 键 词：宫腔镜 刮宫术 电切术 子宫内膜息肉不孕 临床效果 

分 类 号：R713[医药卫生—妇产科学]