宫腔镜下冷刀刨削术与电切术治疗育龄期患者子宫内膜息肉的效果及对术后妊娠率的影响  

Effects of hysteroscopic cold knife planing and electrotomy on the treatment of endometrial polyps in patients of childbearing age and its effect on postoperative pregnancy rate

作　　者：林欣 Lin Xin(Department of Gynecology,Obstetrics and Gynecology Hospital affiliated to Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属妇产医院妇科,江苏南京210008

出　　处：《实用妇科内分泌电子杂志》2021年第36期13-16,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析育龄期子宫内膜息肉患者采用宫腔镜下冷刀刨削术与电切术治疗的临床效果。方法选取本院收治的80例育龄期子宫内膜息肉患者为研究对象,根据随机数字表法分为对照组及研究组,每组40例。对照组行宫腔镜下电切术,研究组行宫腔镜下冷刀刨削术。比较两组的围术期指标、妊娠率、复发率及并发症发生率。结果研究组手术时间、术后阴道流血时间均短于对照组,术中出血量均少于对照组,差异有统计学意义(P<0.05);两组月经恢复时间、住院时间比较,差异无统计学意义(P>0.05)。术后12个月,研究组妊娠率为95.00%,高于对照组的77.50%,复发率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05);两组术后3、6个月复发率及术后6个月妊娠率比较,差异无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论育龄期子宫内膜息肉患者采用宫腔镜下冷刀刨削术与电切术治疗均有一定效果,但前者更具优势,值得临床推广使用。Objective To analyze the clinical effect of hysteroscopic cold knife planing and electrotomy in the treatment of endometrial polyps in childbearing age.Methods A total of 80 patients with endometrial polyps at childbearing age were selected and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group underwent hysteroscopic electrotomy and the study group underwent hysteroscopic cold knife planing.The perioperative indexes,pregnancy rate,recurrence rate and complication rate of the two groups were compared.Results The operation time and postoperative vaginal bleeding time of the study group were shorter than those of the control group,intraoperative blood loss were lower than those of the control group,the differences were statistically significant(P<0.05);there were no significant differences in menstrual recovery time and hospital stay between the two groups(P>0.05).12 months after surgery,the pregnancy rate of the study group was 95.00%,higher than 77.50%of the control group,and the recurrence rate was 5.00%,lower than 20.00%of the control group,the differences were statistically significant(P<0.05);there were no significant differences in the recurrence rate of 3 and 6 months after surgery and pregnancy rate of 6 months after surgery between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Both hysteroscopic cold knife planing and electrotomy are effective in the treatment of endometrial polyps at childbearing age,but the former has more advantages and is worthy of clinical promotion.

关 键 词：宫腔镜 冷刀刨削 电切术 育龄期 子宫内膜息肉 并发症 

分 类 号：R713.4[医药卫生—妇产科学]