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作 者:张晓玲 ZHANG Xiaoling(Department of Gynecology,Pizhou People's Hospital Affiliated to Xuzhou Medical University,Pizhou,Jiangsu Province,221300 China)
机构地区:[1]徐州医科大学附属邳州市人民医院妇科,江苏邳州221300
出 处:《中外医疗》2023年第17期83-87,共5页China & Foreign Medical Treatment
摘 要:目的分析宫腔镜电切术治疗子宫黏膜下肌瘤和子宫内膜息肉的有效性。方法回顾性分析自2019年6月—2022年12月邳州市人民医院收治的100例子宫黏膜下肌瘤、子宫内膜息肉患者的临床资料,将其随机分为两组,40例给予诊断性刮宫及口服地屈孕酮治疗作为对照组,60例给予宫腔镜电切术治疗作为治疗组,对两组治疗效果、复发率、手术情况等进行比较。结果治疗后治疗组子宫体积、子宫内膜厚度均小于对照组,差异有统计学意义(P<0.05);治疗组症状完全改善率为91.67%、术后复发率为5.00%,明显优于对照组的72.50%和22.50%,差异有统计学意义(χ^(2)=6.560、5.402,P<0.05)。治疗组手术时间为(9.71±1.08)min、术中出血量为(3.32±1.22)mL,与对照组相比均较少,差异有统计学意义(P<0.05)。结论子宫黏膜下肌瘤和子宫内膜息肉采用宫腔镜电切术治疗,可使患者临床症状明显改善,并发症发生率较低,值得在临床上推荐。Objective To analyze the effectiveness of hysteroscopic electrotomy in the treatment of submucosal myoma and endometrial polyp in the uterus.Methods Retrospective analysis of clinical data of 100 patients with submucosal myoma and endometrial polyps admitted to Pizhou People's Hospital from June 2019 to December 2022 were conducted,who were randomly divided into 2 groups.Forty cases were given diagnostic curettage and oral dydrogesterone treatment as the control group,and 60 cases were given hysteroscopic electrotomy treatment as the treatment group.The treatment effect,recurrence rate and surgery were compared between the two groups.Results After treatment,the uterine volume and endometrial thickness in the treatment group were lower than those in the control group,and the differences were statistically significant(P<0.05).The complete improvement rate and postoperative recurrence rate of the treatment group were 91.67%and 5.00%,which were significantly better than 72.50%and 22.50%of the control group,and the difference was statistically significant(χ^(2)=6.560,5.402,P<0.05).The operative time and intraoperative blood loss in the treatment group were(9.71±1.08)min and(3.32±1.22)mL,which were less than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment of submucosal myoma and endometrial polyp by hysteroscopic electrotomy can lead to significant improvement of clinical symptoms and lower complication rate,which is worth recommending in clinical practice.
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