宫腔镜下电切术对直径≥1cm宫颈息肉的疗效及出血量的影响  

The Efficacy of Hysteroscopic Electrosurgical Resection on Cervical Polyps≥1 cm in Diameter and Its Impact on Bleeding Volume

作　　者：郭秀伟 GUO Xiu-wei(Juye County People's Hospital,Juye,Shandong 274900,China)

机构地区：[1]巨野县人民医院,山东巨野274900

出　　处：《黔南民族医专学报》2025年第1期12-15,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:分析在直径≥1 cm宫颈息肉的治疗中采取宫腔镜下电切术的临床疗效及对出血量的影响。方法:将院内接收治疗的150例宫颈息肉(≥1 cm)患者采用随机数字表法分为观察组(宫腔镜下电切术,75例)与对照组(传统宫颈息肉摘除术,75例);对两组患者治疗后的临床疗效、手术指标、并发症发生率、复发率及治疗前后宫颈血流量和炎症因子水平(IL-6、TNF-α)作比较。结果:治疗前两组患者宫颈血流量与炎症因子水平对比无统计学意义(P>0.05),治疗后观察组宫颈血流量与炎症因子水平改善较对照组更明显(P<0.05);治疗后两组比较:观察组治疗总有效率高、并发症发生率和复发率低、出血量少、恢复时间和手术时间短,各指标组间差异有统计学意义(P<0.05)。结论:在宫颈息肉治疗中采取宫腔镜下电切术治疗可提高手术效果,缩短手术与恢复时间,降低术后并发症发生率,较常规手术治疗更能改善体内血流量,降低炎症状态,且术后复发率更低。Objective:To analyze the clinical efficacy of hysteroscopic electrosurgical resection in the treatment of cervical polyps≥1 cm in diameter and its impact on bleeding volume.Methods:A total of 150 patients with cervical polyps≥1 cm in diameter who were treated in our hospital were randomly divided into an observation group(hysteroscopic electrosurgical resection,75 patients)and a control group(traditional cervical polypectomy,75 patients).The clinical efficacy,surgical indicators,incidence of complications,recurrence rate,cervical blood flow,and levels of inflammatory cytokines(IL-6,TNF-α)before and after treatment were compared between the two groups.Results:There were no statistically significant differences in cervical blood flow and levels of inflammatory cytokines between the two groups before treatment(P>0.05).After treatment,the improvements in cervical blood flow and levels of inflammatory cytokines were more significant in the observation group compared to the control group(P<0.05).Comparison between the two groups after treatment showed that the observation group had a higher overall treatment efficacy,lower incidence of complications and recurrence rate,less bleeding volume,and shorter recovery and surgical times.The differences in these indicators between the groups were statistically significant(P<0.05).Conclusion:Hysteroscopic electrosurgical resection in the treatment of cervical polyps can improve surgical outcomes,shorten the surgical and recovery times,reduce the incidence of postoperative complications,and compared to conventional surgical treatment,it can better improve blood flow and reduce the inflammatory state in the body,with a lower postoperative recurrence rate.

关 键 词：宫腔镜 电切术 宫颈息肉 疗效 

分 类 号：R713.4[医药卫生—妇产科学]