HEOS宫腔镜与传统宫腔镜治疗宫内节育器嵌顿残留疗效比较  

Comparison of the effect between HEOS hysteroscopy and traditional hysteroscopy in the treatment of residue and incarceration of intrauterine device

作　　者：曲莉 郭西雨 李蕊 张洁 QU Li;GUO Xi-yu;LI Rui;ZHANG Jie(Department of Gynecology,Maternal and Child Care Center of Qinhuangdao,Qinhuangdao 066000,Hebei Province,China)

机构地区：[1]秦皇岛市妇幼保健院妇二科,河北秦皇岛066000

出　　处：《新乡医学院学报》2018年第7期581-583,共3页Journal of Xinxiang Medical University

摘　　要：目的比较HEOS宫腔镜与传统宫腔镜治疗宫内节育器嵌顿残留的临床效果。方法选择2016年1月至2017年12月秦皇岛市妇幼保健院收治的宫内节育器嵌顿残留患者46例,根据治疗方法分为HEOS宫腔镜组和传统宫腔镜组,每组23例。对2组患者的手术时间、术中出血量、膨宫液差值(术中膨宫液的入量与出量的差值)、取环成功率及并发症发生率进行比较。结果 HEOS宫腔镜组患者手术时间、术中出血量、膨宫液差值分别为(24.20±10.12)min、(14.25±6.52)m L、(310.1±180.3)m L;传统宫腔镜组患者手术时间、术中出血量、膨宫液差值分别为(28.52±12.43)min、(19.38±8.67)m L、(510.2±210.0)m L;HEOS宫腔镜组患者手术时间显著短于传统宫腔镜组(P<0.05),术中出血量和膨宫液差值显著少于传统宫腔镜组(P<0.05)。HEOS宫腔镜组患者取环成功率为100.00%(23/23),并发症发生率为4.35%(1/23);传统宫腔镜组患者取环成功率为78.26%(18/23),并发症发生率为43.48%(10/23);HEOS宫腔镜组患者取环成功率高于传统宫腔镜组(χ2=5.610,P<0.05),并发症发生率低于传统宫腔镜组(χ2=9.678,P<0.05)。结论 HEOS宫腔镜治疗节育器嵌顿残留取环成功率高,且手术时间短,术中出血量少,并发症发生率低。Objective To compare the effect between HEOS hysteroscopy and traditional hysteroscopy in the treatment of residue and incarceration of intrauterine device.Methods A total of 46 patients with residue and incarceration of intrauterine device were selected from January 2016 to December 2017 in Maternal and Child Care Center of Qinhuangdao.The patients were divided into HEOS hysteroscopy group and traditional hysteroscopy group according to the treatment method,23 cases in each group.The operation time,intraoperative bleeding,the difference value of the uterine distending fluid(the difference between the amount of input and output of uterine distending fluid),the success rate of the intrauterine device removal and the incidence of complications were compared between the two groups.Results The operation time,intraoperative bleeding and the difference value of the uterine distending fluid in the HEOS hysteroscopy group were(24.20±10.12)min,(14.25±6.52)mL and(310.1±180.3)mL respectively;and them were(28.52±12.43)min,(19.38±8.67)mL and(510.2±210.0)mL in the traditional hysteroscopy group respectively.The operation time in the HEOS hysteroscopy group was significantly shorter than that in the traditional hysteroscopy group(P<0.05),and the intraoperative bleeding and the difference value of the uterine distending fluid in the HEOS hysteroscopy group were significantly less than those in the traditional hysteroscopy group(P<0.05).The success rate of the intrauterine device removal and the incidence of complications in the HEOS hysteroscopy group were 100.00%(23/23)and 4.35%(1/23),and them were 78.26%(18/23)and 43.48%(10/23)in the traditional hysteroscopy group.The success rate of the intrauterine device removal in the HEOS hysteroscopy group was higher than that in the traditional hysteroscopy group(χ2=5.610,P<0.05),and the incidence of complications in the HEOS hysteroscopy group was lower than that in the traditional hysteroscopy group(χ2=9.678,P<0.05).Conclusion HEOS hysteroscopy for the treatment of residue and

关 键 词：宫腔镜 宫内节育器嵌顿 冷刀切除术 

分 类 号：R713[医药卫生—妇产科学]