宫腔镜下两种手术方案对子宫内膜息肉不孕症患者的疗效对比研究  

Comparison of efficacy of two different hysteroscopic surgeries in women with endometrial polyps infertility

作　　者：张颖颖 ZHANG Ying-ying(Department of Gynecology,Gongyi Peoples Hospital,Gongyi,Henan 451200,China)

机构地区：[1]巩义市人民医院妇科,河南巩义451200

出　　处：《医药论坛杂志》2022年第1期45-47,51,共4页Journal of Medical Forum

摘　　要：目的探讨宫腔镜下电切除术与钳夹术两种手术方案治疗子宫内膜息肉不孕症的临床疗效。方式选取2018年5月至2020年6月于巩义市人民医院治疗的子宫内膜息肉不孕症患者共108例,按照不同的手术方案分为对照组和实验组各54例,对其中采用钳夹术进行治疗的患者设为对照组,对采用宫腔镜下电切除术进行治疗者设为实验组。比较两组患者手术时间、术中出血量和住院时间、月经量及子宫内膜厚度以及妊娠率和复发率。结果实验组患者手术时间(14.12±1.08)min,术中出血量(13.13±2.83)mL,住院时间(3.13±0.33)d,与对照组手术时间(13.83±1.29)min,术中出血量(13.01±2.52)mL,住院时间(2.99±0.26)d比较,差异均无统计学意义(P>0.05);术后3个月实验组患者的月经量(188.65±20.23)mL,少于对照组患者,实验组患者的子宫内膜厚度(9.38±1.27)mm,与对照组[(6.53±1.23)mm]比较差异有统计学意义(P<0.05);术后6~12个月实验组患者的妊娠率为33.33%,对照组妊娠率为14.81%,差异有统计学意义(P<0.05),术后6~12个月实验组患者的复发率(5.56%)低于对照组(7.41%),但两组之间数据差异无统计学意义(P>0.05)。结论宫腔镜下电切除术治疗子宫内膜息肉不孕症效果显著,能够改善患者月经情况,降低复发率,促进再孕。Objective To explore the difference of curative effect between hysteroscopic electroresection and clamping for infertile women with endometrial polyps.Methods A total of 108 cases of endometrial polyp infertility patients treated in our hospital from May 2018 to June 2020 were selected, and divided into control group(n=54) and experimental group(n=54) according to different surgical procedures selected by the patients. The experimental group was treated with forceps, while the control group was treated with electroresection. The operative time, intraoperative blood loss, hospitalization time, menstrual volume, uterine thick membrane thickness, pregnancy rate and recurrence rate were compared between two groups.Results The operation time of the experimental group was(14.12±1.08) min, the intraoperative blood loss was(13.13±2.83) mL, the hospital stay was(3.13±0.33) d, and the control group was(13.83±1.29) min, the intraoperative blood loss was(13.01±2.52) mL. There was no statistical significance in the length of hospital stay(2.99±0.26) d(P>0.05). The menstrual volume in the experimental group was(188.65±20.23) mL, which was lower than that in the control group. The endometrial thickness of the control group was(6.53±1.23) mm, compared with that of the experimental group(9.38±1.27) mm, and the difference was statistically significant(P<0.05). The pregnancy rate in the control group was 14.81%, and the pregnancy rate in the experimental group was 33.33%, the difference was not statistically significant(P>0.05). The recurrence rate in the experimental group was 5.56%, which was significantly lower than the 7.41% in the control group. However, there was no significant difference between the two groups(P>0.05). Conclusion Hysteroscopic electric resection is effective in treating infertility of endometrial polyp, which can improve menstrual situation, reduce recurrence rate and promote repregnancy.

关 键 词：宫腔镜 电切除术 钳夹术 子宫内膜息肉不孕症 

分 类 号：R711.6[医药卫生—妇产科学]