宫腔镜手术治疗子宫内膜息肉的临床价值  

The Clinical Value of Hysteroscopic Surgery for Endometrial Polyp

作　　者：陈影 CHEN Ying(Changtu County Central Hospital,Liaoning Tieling 112599)

机构地区：[1]昌图县中心医院,辽宁铁岭112599

出　　处：《中国医疗器械信息》2022年第20期119-121,共3页China Medical Device Information

摘　　要：目的:观察分析子宫内膜息肉采用宫腔镜手术治疗的具体情况。方法:抽取本院2017年3月~2019年12月150例子宫内膜息肉患者为研究对象,将所有患者按照随机数表法分为对照组(75例,进行基础治疗)和观察组(75例,进行宫腔镜手术治疗)。对两组患者治疗完成后手术时间、手术出血量、住院时间、手术效果对比分析,并比较2组血红蛋白、月经量以及内膜厚度、复发率以及不良反应发生率。结果:观察组进行宫腔镜手术治疗后手术时间、手术出血量、住院时间明显短于对照组进行基础治疗手术时间、手术出血量、住院时间,观察组进行宫腔镜手术治疗后治疗总有效率明显高于对照组进行基础治疗后手术总有效率,差异有统计学意义(P<0.05)。治疗后,观察组内膜厚度、月经量、血红蛋白指标均优于对照组,差异均有统计学意义(P<0.05)。观察组复发率低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:子宫内膜息肉采用宫腔镜手术治疗能够减少手术时间、手术出血量、缩短住院时间,同时可改善血红蛋白、月经量以及内膜厚度,降低复发率以及不良反应发生率,进而提高治疗效果。Objective:To observe and analyze the specific conditions of hysteroscopic surgery for endometrial polyps.Methods:150 patients with endometrial polyps from March 2017 to December 2019 in our hospital were selected as the research objects,and all patients were divided into a control group(75 cases for basic treatment)and an observation group according to the random number table method(75 cases underwent hysteroscopic surgery).The operation time,surgical blood loss,hospitalization time,and surgical effect of the two groups of patients were compared and analyzed.The hemoglobin,menstrual volume,intimal thickness,recurrence rate and incidence of adverse reactions were compared between the two groups.Results:The operation time,operation bleeding volume and hospitalization time of the observation group after hysteroscopic surgery were significantly shorter than those of the control group after basic treatment.The total effective rate of the observation group after hysteroscopic surgery was significantly higher than that of the control group after basic treatment,with a statistically significant difference(P<0.05).After treatment,the endometrial thickness,menstrual volume and hemoglobin indexes in the observation group were better than those in the control group,with statistically significant differences(P<0.05).The recurrence rate in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Hysteroscopic surgery for endometrial polyps can reduce the operation time,surgical bleeding,shorten hospital stay,improve hemoglobin,menstruation and endometrial thickness,reduce the recurrence rate and adverse reaction rate,and then improve the treatment effect.

关 键 词：总有效率 临床效果 手术出血量 

分 类 号：R713.4[医药卫生—妇产科学]