新型宫腔镜刨削系统治疗子宫腔微小病变的临床研究  

Clinical study of new intergrated bigatti shaver in the treatment of microscopic lesions in the uterine cavity

作　　者：庄小兰[1] 郭艳琴 郭丽芬[1] 龚略[1] ZHUANG Xiaolan;GUO Yanqin;GUO Lifen;GONG Lue(Department of Obstetrics and Gynecology,Ji'an Central People's Hospital,Ji'an,Jiangxi,343000)

机构地区：[1]吉安市中心人民医院妇产科,江西吉安343000

出　　处：《当代医学》2024年第21期9-12,共4页Contemporary Medicine

基　　金：吉安市指导性科技计划项目(20222-026820)。

摘　　要：目的探究妇科宫腔镜刨削系统(intergrated bigatti shaver,IBS)手术治疗子宫腔微小病变的效果。方法选取2021年5月至2023年5月吉安市中心人民医院收治的60例子宫腔微小病变患者作为研究对象,采用随机数字表法分为研究组与对照组,各30例。研究组行IBS手术,对照组行宫腔镜冷刀切除术,比较两组术后恢复指标、激素指标[卵泡刺激素(follicle-stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradial,E2)及孕酮(progesterone,P)]、生化指标、并发症发生率及复发率。结果研究组术中出血量、膨宫介质吸入量均少于对照组,手术时间、术后生理周期恢复时间均短于对照组,差异有统计学意义(P<0.05)。术后,研究组血清FSH、LH水平均高于对照组,差异有统计学意义(P<0.05),两组E2、P、血红蛋白、血钠、血钾及血糖水平比较差异无统计学意义。研究组并发症发生率及复发率均低于对照组,差异有统计学意义(P<0.05)。结论IBS手术治疗宫腔微小病变,具有恢复快、低创伤、并发症少、效率高、安全的特点,值得临床推广应用。Objective To investigate the efficacy of the intergrated bigatti shaver(IBS)surgical in the treatment of microscopic lesions in the uterine cavity.Methods 60 patients with microscopic lesions in the uterine cavity admited to Ji'an Central People's Hospital from May 2021 to May 2023 were selected as the research subjects,they were divided into the study group and the control group according to random number table method,with 30 cases in each group.The study group underwent IBS surgery,while the control group underwent hysteroscopic cold knife resection surgery.The postoperative recovery indicators,hormone indicators(follicle stimulating hormone[FSH],luteinizing hormone[LH],estradiol[E2]and progesterone[P]),biochemical indicators,complication rate and recurrence rate were compared between the two groups.Results The intraoperative blood loss and suction of dilation medium in the study group were lower than those in the control group,the surgical time and postoperative physio-logical cycle recovery time were shorter than those in the control group,and the differences were statistically significant(P<0.05).After surgery,the serum levels of FSH and LH in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05),there were no significant differences in E2,P,hemoglobin,blood sodium,blood potassium and blood glucose levels between the two groups.The complication and recurrence rates in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion IBS surgical treatment for microscopic lesions in the uterine cavity has the characteristics of fast recovery,low trauma,few complications,high efficiency,and safety,and is worthy of clinical promotion and application.

关 键 词：子宫腔微小病变 宫腔镜刨削系统 宫腔镜冷刀切除术 

分 类 号：R71[医药卫生—妇产科学]