低频电刺激疗法辅助宫腔镜下电切术对子宫内膜息肉的治疗效果  

Therapeutic Effect of Low Frequency Electrical Stimulation Therapy Assisted Hysteroscopic Electrocision on Endometrial Polyps

作　　者：陈盛玫 CHEN Shengmei(Department of Obstetrics and Gynecology,Maternal and Child Health Hospital of Zhanggong District of Ganzhou City,Ganzhou 341000,China)

机构地区：[1]赣州市章贡区妇幼保健院妇产科,江西赣州341000

出　　处：《中国医学创新》2024年第29期137-141,共5页Medical Innovation of China

摘　　要：目的:探讨低频电刺激疗法辅助宫腔镜下电切术对子宫内膜息肉的治疗效果。方法:选取2021年10月—2023年2月赣州市章贡区妇幼保健院收治的100例子宫内膜息肉患者为研究对象,按照随机数字表法分为常规组(给予宫腔镜下电切术治疗)及联合组(低频电刺激疗法辅助宫腔镜下电切术治疗),各50例。对比两组视觉模拟评分法(VAS)评分、康复进程、子宫内膜形态、子宫动脉血流[阻力指数(RI)、搏动指数(PI)、收缩期峰值流速(PSV)、舒张期峰值流速(EDV)]及并发症发生率。结果:联合组术后3、5 d的VAS评分均低于常规组,差异均有统计学意义(P<0.05)。联合组阴道出血持续时间、疼痛持续时间均短于常规组,月经恢复时间早于常规组,差异均有统计学意义(P<0.05)。术后6周,联合组的子宫内膜形态明显优于常规组,差异有统计学意义(P<0.05)。术后6周,两组RI、PI均降低,联合组均明显低于常规组,PSV及EDV均升高,联合组均明显高于常规组,差异均有统计学意义(P<0.05)。联合组术后并发症发生率明显低于常规组,差异有统计学意义(P<0.05)。结论:低频电刺激疗法辅助宫腔镜下电切术可降低子宫内膜息肉患者术后疼痛程度,缩短其康复时间,促进其子宫内膜形态恢复,提高其子宫动脉血流速度,降低其术后并发症。Objective:To explore the therapeutic effect of low frequency electrical stimulation therapy assisted hysteroscopic electrocision on endometrial polyps.Method:A total of 100 patients with endometrial polyps treated in Maternal and Child Health Hospital of Zhanggong District of Ganzhou City from October 2021 to February 2023 were selected as the study objects,and they were divided into routine group(received hysteroscopic electrocision)and combined group(received low frequency electrical stimulation therapy assisted hysteroscopic electrocision)according to random number table method,with 50 cases in each group.Visual analogue scale(VAS)scores,rehabilitation process,endometrial morphology,uterine artery flow[resistance index(RI),pulse index(PI),peak systolic velocity(PSV),end-diastolic peak velocity(EDV)]and complication rate were compared between two groups.Result:The VAS scores of the combined group were lower than those of the routine group 3 and 5 days after surgery,the differences were statistically significant(P<0.05).The duration of vaginal bleeding,pain duration in combined group were shorter than those of the routine group,menstrual recovery time in combined group was earlier than that in routine group,the difference was statistically significant(P<0.05).6 weeks after surgery,the endometrial morphology of the combined group was significantly better than that of the routine group,the differences were statistically significant(P<0.05).6 weeks after surgery,RI and PI in both groups were decreased,and those in the combined group were significantly lower than those in the routine group,PSV and EDV in both groups were increased,and those in the combined group were significantly higher than those in the routine group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in combined group was significantly lower than that in routine group,the difference was statistically significant(P<0.05).Conclusion:Low frequency electrical stimulation therapy assisted hysteroscopic e

关 键 词：低频电刺激 宫腔镜下电切术 子宫内膜息肉 子宫内膜形态 子宫动脉血流 

分 类 号：R713.4[医药卫生—妇产科学]