宫腔镜直视冷刀切除绝经后子宫内膜息肉的评价  

Evaluation of direct visualization cold-knife resection via hysteroscopy in the treatment of post-menopausal endometrial polyps

作　　者：尹聪 白文佩[1] 顾蓓[1] 赵晋[1] 龚萍[1] 赵率红[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院妇产科,北京100038

出　　处：《中国妇幼健康研究》2018年第1期107-109,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的评价宫腔镜直视冷刀切除治疗绝经后子宫内膜息肉的有效性和安全性。方法将2014年6月至2016年6月于首都医科大学附属北京世纪坛医院行宫腔镜手术的绝经后子宫内膜息肉患者89例,分为宫腔镜直视冷刀切除组(冷刀组)45例和宫腔镜检查后盲取息肉组(盲取组)44例,比较两组手术时间、术中出血、术后并发症及复发情况。结果冷刀组手术时间显著短于盲取组,差异有统计学意义(t=-9.18,P<0.05);冷刀组术中出血量显著少于盲取组,差异有统计学意义(t=-1.51,P<0.05);冷刀组术后住院天数显著少于盲取组,差异有统计学意义(t=-1.29,P<0.05)。盲取组术中发生子宫穿孔1例,冷刀组无术中并发症。随访时间6~24个月,盲取组有4例复发,冷刀组无复发病例。结论宫腔镜直视冷刀切除治疗绝经后子宫内膜息肉是有效和安全的。Objective To evaluate the efficacy and safety of direct visualization cold-knife resection via hysteroscopy in the treatment of post-menopausal endometrial polyps.Methods From June 2014 to June 2016,89 patients with post-menopausal endometrial polyps were selected as research objects,and they were divided into observation group（45 cases）and control group（44 cases）.Patients in the observation group were treated with direct visualization resection via hysteroscopy,while those in the control group were treated with blind polypectomy following diagnostic hysteroscopy.The operation duration,intraoperative bleeding volume,postoperative complications and recurrence rate of two groups were compared.Results Compared with the control group,the observation group had shorter operation duration,less bleeding volume and shorter postoperative hospital stay with statistically significant differences（t value was-9.18,-1.51 and-1.29,respectively,all P0.05）.There was 1 case of uterus perforation in the control group,but no intraoperative complications occurred in the observation group.Follow-up lasted for 6 to 24 months,during which no relapse in the observation group but 4 in the control group were found.Conclusion Direct visualization resection via hysteroscopy in the treatment of post-menopausal endometrial polyps is effective and safe.

关 键 词：宫腔镜 直视冷刀 绝经期 子宫内膜息肉 

分 类 号：R713.4[医药卫生—妇产科学]