宫腔镜下电切术与宫腔镜下刮宫术在围绝经期异常子宫出血患者中的应用  

Application of Hysteroscopic Electrotomy and Hysteroscopic Curettage in Perimenopausal Patients with Abnormal Uterine Bleeding

作　　者：张杰 贺武[1] ZHANG Jie;HE Wu(Suzhou Yongding Hospital,Suzhou 215200,China;不详)

机构地区：[1]苏州永鼎医院,江苏苏州215200

出　　处：《中外医学研究》2024年第4期122-126,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析宫腔镜下电切术与宫腔镜下刮宫术在围绝经期异常子宫出血患者中的应用。方法:选取2020年1月—2023年1月苏州永鼎医院收治的102例围绝经期异常子宫出血患者作为研究对象。根据计算机随机分组法将其分为对照组及观察组,各51例。对照组实施宫腔镜下刮宫术,观察组实施宫腔镜下电切术。比较两组术前、术后免疫功能,术前、术后3个月月经情况,复发情况。结果:术后7 d,两组免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、补体C3、补体C4水平均降低,但观察组IgG、IgA、IgM、补体C3、补体C4水平均高于对照组,差异有统计学意义(P<0.05)。术后3个月,两组子宫内膜厚度、月经出血量、月经期均改善,且观察组子宫内膜厚度、月经出血量、月经期均优于对照组,差异有统计学意义(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)。结论:围绝经期异常子宫出血患者应用宫腔镜下电切术治疗,可改善患者子宫内膜厚度及月经情况,改善免疫功能指标,减少复发。Objective:To analyze the application of hysteroscopic electrotomy and hysteroscopic curettage in perimenopausal patients with abnormal uterine bleeding.Method:A total of 102 patients with abnormal uterine bleeding during perimenopausal period admitted to Suzhou Yongding Hospital from January 2020 to January 2023 were selected as the observation objects.According to computer randomization grouping,they were divided into control group and observation group,with 51 cases in each group.The control group underwent hysteroscopic curettage,and the observation group underwent hysteroscopic electrotomy.The preoperative and postoperative immune function,menstrual status before surgery and 3 months after surgery,and recurrence rate between two groups were compared.Result:After 7 d of surgery,the levels of immunoglobulin G(IgG),immunoglobulin A(IgA),immunoglobulin M(IgM),complement C3 and complement C4 were decreased in both groups,and the levels of IgG,IgA,IgM,complement C3 and complement C4 in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Three months after surgery,endometrial thickness,menstrual bleeding volume and menstrual duration of both groups were improved,and the endometrial thickness,menstrual bleeding volume and menstrual duration of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Perimenopausal patients with abnormal uterine bleeding can be treated with hysteroscopic electroresection,which can improve endometrial thickness and menstruation condition,improve immune function index,and reduce recurrence.

关 键 词：宫腔镜下电切术 宫腔镜下刮宫术 围绝经期异常子宫出血 

分 类 号：R713.4[医药卫生—妇产科学]