宫腔镜下电切除术与钳夹术在子宫内膜息肉中的应用效果及对患者月经量和子宫内膜厚度及复发情况的影响  

The application effect of hysteroscopic electroresection and clamp surgery in endometrial polyps and their impact on menstrual flow,endometrial thickness,and recurrence in patients

作　　者：石衍颖 满玮平 SHI Yanying;MAN Weiping(Department of Gynecology,People's Hospital of Pingdu City,Qingdao,Shandong,266700,China)

机构地区：[1]平度市人民医院妇科,山东青岛266700

出　　处：《当代医学》2024年第1期124-127,共4页Contemporary Medicine

摘　　要：目的探究宫腔镜下电切除术与钳夹术在子宫内膜息肉中的应用效果及对患者月经量、子宫内膜厚度及复发情况的影响。方法选取2020年1月至2021年1月平度市人民医院妇科接诊的100例子宫内膜息肉患者作为研究对象,按照随机抽签法分为对照组(宫腔镜下钳夹术)与观察组(宫腔镜下电切除术),各50例。比较两组围手术期指标、月经量变化、子宫内膜厚度、术后并发症情况、性生活质量及复发率。结果两组手术时间、术中出血量比较差异无统计学意义;术后1个月,两组月经量均少于术前,观察组子宫内膜厚度薄于术前,且观察组月经量少于对照组,子宫内膜厚度薄于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05);术后6个月,两组女性性功能指数量表(FSFI)评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组复发率为14.00%,低于对照组的2.00%,差异有统计学意义(P<0.05)。结论宫腔镜下电切术与钳夹术治疗子宫内膜息肉的近期效果及安全性相当,但宫腔镜下电切术远期效果更好,复发率低,有助于改善患者月经量及子宫内膜厚度,优化性生活质量。Objective To explore the application effect of hysteroscopic electroresection and clamp surgery endometrial polyps and their impact on menstrual flow,endometrial thickness,and recurrence in patients.Methods 100 patients with endometrial polyps who were treated in the gyne-cology department of People's Hospital of Pingdu City from January 2020 to January 2021 were selected as the study subjects,and they were divided into the control group(hysteroscopic clamp surgery)and the observation group(hysteroscopic electroresection surgery)using random drawing meth-od,with 50 cases in each group.The perioperative indicators,changes in menstrual flow,endometrial thickness,postoperative complications,quality of sexual life,and recurrence rate were compred between the two groups.Results There were no significant differences in surgical time and intraop-erative bleeding between the two groups;1 month after surgery,the menstrual flow of the two groups was less than before surgery,the endometrial thickness in the observation group was thinner than before surgery,and the menstrual flow in the observation group was less than that in the control group,the endometrial thickness in the observation group was thinner than that in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was sta-tistically significant(P<0.05);6 months after surgery,the FSFI scores of the two groups were higher than before surgery,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The recurrence rate in the observation group was 14.00%,which was lower than 2.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopic electrocautery has similar short-term effects and safety to clamp surgery for the treatment of endometrial polyps,but hysteroscopic electrocautery has better long-term effects and low

关 键 词：子宫内膜息肉 宫腔镜下电切除术 宫腔镜下钳夹术 效果观察 

分 类 号：R713.4[医药卫生—妇产科学]