比较观察宫腔镜电切手术与刮宫术治疗异常子宫出血的临床效果  

Comparative Observation of Clinical Effect of Hysteroscopic Resection and Curettage in Treatment of Abnormal Uterine Bleeding

作　　者：高振华 GAO Zhenhua(Wuwei City Minqin County People's Hospital,Wuwei,Gansu 733399)

机构地区：[1]甘肃省武威市民勤县人民医院,甘肃武威733399

出　　处：《智慧健康》2024年第27期83-86,共4页Smart Healthcare

摘　　要：目的探讨异常子宫出血治疗中宫腔镜电切手术与刮宫术的疗效。方法选取2021年9月—2023年9月本院收治的120例异常子宫出血患者作为研究对象,以随机数字表法分成对照组和研究组,每组60例。其中,对照组实施刮宫术,研究组实施宫腔镜电切手术。对比两组患者手术指标、临床指标、性激素水平、并发症、有效率。结果研究组、对照组手术指标差异较大,统计学对比分析有意义(P<0.05)。与对照组相比,研究组月经失血图(PBAC)评分、子宫内膜厚度更低,血红蛋白(Hb)水平更高(P<0.05)。研究组性激素水平较对照组低(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。研究组总有效率高于对照组(P<0.05)。结论宫腔镜电切手术与刮宫术疗对比,前者疗效更高,且对患者性激素水平的抑制具有积极意义,月经失血情况及子宫内膜厚度均得到有效改善,安全性高,预后显著。Objective To investigate the effect of hysteroscopic resection and curettage in treatment of abnormal uterine bleeding.Methods The paper included 120 patients with abnormal uterine bleeding for study,sample data was selected from September 2021 to September 2023,which were divided into groups with random number table method.Among them,60 cases in the control group were treated with curettage surgery,another 60 cases in the study group were hysteroscopic resection surgery.The surgical indicators,clinical indicators,sex hormone levels,complications and effective rate were compared after the above treatment.Results There was significant difference in surgical indicators between the study group and the control group,statistical comparative analysis was significant(P<0.05).The menstrual bleeding chart(PBAC)scores,endometrial thickness were lower in the study group than the control group,and hemoglobin(Hb)level was higher,(P<0.05).The level of sex hormones in the study group was lower than the control group,difference between the groups was significant(P<0.05).The analysis showed,complication data in the study group were lower(P<0.05).The difference analysis showed,the effective rate in the study group was higher,(P<0.05).Conclusion The comparison showed,hysteroscopic resection surgery has higher curative effect than curettage surgery,which has positive significant on inhibiting sex hormone levels of patients,can improve menstrual blood loss and endometrial thickness effectively,with high safety and significant prognosis.

关 键 词：异常子宫出血 宫腔镜电切手术 刮宫术 性激素水平 子宫内膜厚度 并发症 

分 类 号：R713.4[医药卫生—妇产科学]