宫腔镜下电切除术与钳夹术治疗子宫内膜息肉的效果比较  

Comparison of clinical effects of hysteroscopic electroresection and clamp surgery on endometrial polyps

作　　者：段丽[1] 汤艳艳[1] 陈粉合[1] Duan Li;Tang Yanyan;Chen Fenhe(Gynecological Outpatient Operating Room,Zhengzhou Seventh People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院妇科门诊手术室,郑州450000

出　　处：《中国实用医刊》2025年第1期46-49,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较宫腔镜下电切除术与钳夹术治疗子宫内膜息肉的临床效果。方法队列研究。抽取2018年7月至2021年10月郑州市第七人民医院收治的子宫内膜息肉患者84例,按随机数字表法分为对照组与观察组,每组42例。对照组采用宫腔镜下钳夹术,观察组采用宫腔镜下电切除术。比较两组围术期情况、子宫内膜厚度及月经量、性生活质量、并发症发生情况、妊娠及复发情况。结果观察组手术时间、术中出血量、住院时间与对照组比较,差异均未见统计学意义(P均>0.05)。术后6个月,观察组子宫内膜厚度小于对照组,月经量少于对照组(P<0.05);术后6个月,观察组性生活满意度高于对照组,性唤起时间短于对照组(P<0.05)。观察组术后并发症发生率(0,0/41)低于对照组(14.29%,6/41),P<0.05。术后随访6个月,观察组和对照组各脱落1例病例,观察组妊娠率(31.71%,13/41)高于对照组(9.76%,4/41),复发率(0,0/41)低于对照组(14.63%,6/41),P<0.05。结论与钳夹术比较,宫腔镜下电切除术治疗子宫内膜息肉可改善患者的子宫内膜厚度及月经量,提高患者性生活质量和妊娠率,并降低并发症发生率和复发率。ObjectiveTo compare the clinical effects of hysteroscopic electroresection and clamp surgery in the treatment of endometrial polyps.MethodsA total of 84 patients with endometrial polyps treated in Zhengzhou Seventh People’s Hospital from July 2018 to October 2021were selected for a cohort study,and they were divided into control group and observation group according to the random number table method,with 42 cases in each group.The control group was treated by hysteroscopic clamp,while the observation group was treated by hysteroscopic electroresection.The perioperative conditions,endometrial thickness,menstrual volume,quality of sexual life,occurrence of complications,pregnancy and recurrence were compared between the two groups.ResultsThere was no significant difference in operation time,intraoperative blood loss and hospital stay between the observation group and the control group(all P>0.05).The endometrial thickness in the observation group was smaller than that in the control group,and the menstrual volume was less than that in the control group 6 months after operation(P<0.05).The sexual satisfaction of the observation group was higher than that of the control group,and the sexual arousal time was shorter than that of the control group 6 months after operation(P<0.05).The incidence of postoperative complications in the observation group(0,0/41)was lower than that in the control group(14.29%,6/41),P<0.05.After 6 months of follow-up,1 case fell off in each of groups.The pregnancy rate of the observation group was 31.71%(13/41),which was higher than that of the control group(9.76%,4/41),moreover,the recurrence rate of the observation group was 0(0/41),which was lower than that of the control group(14.63%,6/41),P<0.05.ConclusionsCompared with hysteroscopic clamping surgery,hysteroscopic electroresection in the treatment of endometrial polyps can improve endometrial thickness and menstrual volume,increase sexual life quality and pregnancy rate,and reduce the incidence of complications and recurrence rate.

关 键 词：子宫内膜 息肉 宫腔镜下电切除术 钳夹术 妊娠率 

分 类 号：R71[医药卫生—妇产科学]