TCRP联合宫腔负压吸引术治疗多发性EP合并不孕症的效果  

The Effect of TCRP Combined with Negative Intrauterine Pressure Aspiration in Patients with Multiple Complicated EP with Infertility

作　　者：高晓琼 仝玉珠 苑帆 GAO Xiaoqiong;TONG Yuzhu;YUAN Fan(Department of Obstetrics and Gynecology,Longhu Hospital,Xuchang,Henan 461000,China;Department of Obstetrics and Gynecology,Xuchang Central Hospital,Xuchang,Henan 461000,China)

机构地区：[1]许昌龙湖医院妇产科,河南许昌461000 [2]许昌市中心医院妇产科,河南许昌461000

出　　处：《生物医学工程学进展》2024年第4期368-373,共6页Progress in Biomedical Engineering

摘　　要：目的探讨多发性子宫内膜息肉(EP)合并不孕症患者予以宫腔镜子宫内膜息肉电切术(TCRP)联合宫腔负压吸引术治疗对患者性生活质量、妊娠结局的影响。方法按照手术方法将许昌龙湖医院2021年1月18日至2024年1月18日期间确诊的127例多发性EP合并不孕症患者分组,对照组63例给予TCRP治疗,观察组64例在对照组的基础上予以宫腔负压吸引术治疗。对比两组患者的手术指标、性生活质量和妊娠结局。结果观察组手术时间较对照组短,围术期并发症发生率较对照组低,术中出血量较对照组多(P<0.05);相较于对照组,观察组术后各维度BISF-W评分更高(P<0.05);术后随访12个月,观察组妊娠成功率(31.25%)较对照组(14.29%)高(P<0.05)。结论TCRP联合宫腔负压吸引术治疗多发性EP合并不孕症患者可以缩短手术时间,降低围手术期并发症发生率,从而改善患者性生活质量,提高妊娠成功率。Objective To investigate the effects of Transcervi Calresection of Endometrial Polyps(TCRP)combined with intranegative uterine pressure aspiration on the sexual life quality and pregnancy outcome of multiple endometrial polyps(EP)patients complicated with infertility.Methods According to the surgical method,127 patients with multiple EP complicated with infertility in Longhu Hospital,Xuchang from January 18,2021 to January 18,2024 were divided into two groups.The control group(63 cases)received TCRP treatment,while the observation group(64 cases)received negative intrauterine pressure suction surgery on the basis of TCRP treatment.Compare the surgical indicators,sexual quality of life,and pregnancy outcomes between two groups.Results The operation time of observation group was shorter than that of control group,the incidence of perioperative complications was lower,and the amount of intraoperative bleeding was higher(P<0.05).Compared with the control group,the BISF-W score was higher in the observation group(P<0.05).After 12 months follow-up,the pregnancy success rate in observation group(31.25%)was higher than that in control group(14.29%)(P<0.05).Conclusion TCRP combined with negative uterine pressure aspiration can shorten the operative time and reduce perioperative complications in the treatment of multiple EP patients with infertility,thereby improving the quality of sexual life and increasing the success rate of pregnancy.

关 键 词：子宫内膜息肉电切术 宫腔负压吸引术 多发性子宫内膜息肉 性生活质量 不孕症 

分 类 号：R711.6[医药卫生—妇产科学]