宫腔镜在计划生育疑难手术中的治疗效果  

Therapeutic effect of hysteroscopy in difficult family planning surgery

作　　者：姬力群 盛晓滨[1] 林经萍[1] 张玉新 JI Li-qun;SHENG Xiao-bin;LIN Jing-ping(Shijingshan Hospital,Beijing 100043,China)

机构地区：[1]石景山医院,100043

出　　处：《中国实用医药》2021年第13期63-66,共4页China Practical Medicine

摘　　要：目的研究宫腔镜在计划生育疑难手术中的治疗效果。方法 84例计划生育疑难手术患者,应用随机数字表法将其分为常规组及宫腔镜组,各42例。常规组应用常规手术治疗,宫腔镜组应用宫腔镜诊断及治疗。比较两组疗效、手术及术后恢复情况、子宫切除率、并发症发生情况。结果宫腔镜组治疗有效率95.24%(40/42)高于常规组的80.95%(34/42),差异有统计学意义(P<0.05)。宫腔镜组手术时间(18.24±4.69)min、下床活动时间(1.56±0.24)d、术后住院时间(5.87±1.38)d均短于常规组的(21.09±5.72)min、(1.93±0.57)d、(6.64±1.72)d,术中出血量(27.54±5.87)ml少于常规组的(32.86±6.84)ml,差异有统计学意义(P<0.05)。宫腔镜组子宫切除率为2.38%,低于常规组的14.29%,差异有统计学意义(P<0.05)。宫腔镜组并发症发生率4.76%低于常规组的21.43%,差异有统计学意义(P<0.05)。结论宫腔镜应用于计划生育疑难手术中能显著提高手术治疗效果,同时也能降低手术创伤,促进患者术后快速康复,更利于控制患者术后并发症发生率。Objective To study the therapeutic effect of hysteroscopy in difficult family planning surgery.Methods A total of 84 patients with difficult family planning surgery were divided into conventional group and hysteroscopy group according to random numerical table,with 42 cases in each group.The conventional group was treated with conventional surgery,and the hysteroscopy group was treated with hysteroscopy diagnosis and treatment.The clinical efficacy,operation and postoperative recovery status,hysterectomy rate,and occurrence of complications were compared between the two groups.Results The effective rate 95.24%(40/42)of hysteroscopy group was higher than 80.95%(34/42)of conventional group,and the difference was statistically significant(P<0.05).The operation time(18.24±4.69)min,off-bed activity time(1.56±0.24)d and postoperative hospitalization time(5.87±1.38)d of hysteroscopy group were shorter than(21.09±5.72)min,(1.93±0.57)d and(6.64±1.72)d,and intraoperative blood loss(27.54±5.87)ml was less than(32.86±6.84)ml of conventional group.All the difference was statistically significant(P<0.05).The hysterectomy rate of hysteroscopy group was 2.38%,which was lower than 14.29%of conventional group,and the difference was statistically significant(P<0.05).The incidence of complications 4.76%of hysteroscopy group was lower than 21.43%of conventional group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopy in difficult family planning surgery can significantly improve the surgical effect,reduce the surgical trauma,promote the rapid recovery of patients,and control the incidence of postoperative complications.

关 键 词：宫腔镜 计划生育 疑难手术 疗效 康复 并发症 

分 类 号：R713[医药卫生—妇产科学]