宫腔镜下电切术与刮宫术治疗异常子宫出血的有效性及安全性对比观察  

Observation of the effectiveness and safety of uterine laparoscopic electrical cutting and curettage treatment of abnormal uterine bleeding

作　　者：王明玉 陈晓倩 Wang Mingyu;Chen Xiaoqian(Department of Obstetrics and Gynecology,Zhangjiagang Second People's Hospital,Zhangjiagang 215600,China)

机构地区：[1]张家港市第二人民医院妇产科,江苏张家港215600

出　　处：《实用妇科内分泌电子杂志》2024年第17期21-23,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的观察宫腔镜下电切术与刮宫术治疗异常子宫出血(AUB)的有效性及安全性。方法选取56例AUB患者,按照抽签法随机分为对照组(宫腔镜下刮宫术治疗)与干预组(宫腔镜下电切术治疗),各28例。比较两组临床疗效、手术指标与并发症发生情况。结果干预组总有效率96.43%高于对照组的78.57%(P<0.05)。两组的手术时间、术中出血量、住院时间比较,差异无统计学意义(P>0.05)。干预组的并发症发生率低于对照组(P<0.05)。结论宫腔镜下电切术应用于AUB治疗中的效果显著,优于宫腔镜下刮宫术,安全性更高,值得临床推广与应用。Objective To observe the efficacy and safety of hysteroscopic electrotomy and curettage in the treatment of abnormal uterine bleeding(AUB).Methods 56 patients with AUB were selected and randomly divided into control group(hysteroscopic curettage treatment)and intervention group(hysteroscopic electrotomy treatment)according to lottery method,with 28 cases each.The clinical efficacy,surgical indexes and complications were compared between the two groups.Results The total effective rate in the intervention group was 96.43%higher than control group 78.57%(P<0.05).There was no significant difference in operation time,intraoperative blood loss and hospital stay between the two groups(P>0.05).The complication rate in the intervention group was lower than that in the control group(P<o.05).Conclusion Hysteroscopic electrotomy has a significant effect in the treatment of AUB,which is better than hysteroscopic curettage,and has higher safety,which is worthy of clinical promotion and application.

关 键 词：宫腔镜下电切术 宫腔镜下刮宫术 异常子宫出血 有效性 安全性 

分 类 号：R713.4[医药卫生—妇产科学]