宫腔镜冷刀切除子宫内膜息肉对育龄女性子宫内膜容受性及妊娠的影响  

Effects of Hysteroscopic Cold Knife Resection of Endometrial Polyps on Endometrial Receptivity and Pregnancy in Women of Reproductive Age

作　　者：廖玲[1] 朱永婷[1] 杨翠木 潘燕[2] 余日红 Liao Ling;Zhu Yongting;Yang Cuimu;Pan Yan;Yu Rihong(Department of Gynecology,Mingguang People's Hospital,Mingguang,Anhui 239400,China;Department of Nursing,Mingguang People's Hospital,Mingguang,Anhui 239400,China)

机构地区：[1]明光市人民医院妇科,安徽明光239400 [2]明光市人民医院护理部,安徽明光239400

出　　处：《大理大学学报》2025年第4期42-45,共4页Journal of Dali University

基　　金：滁州城市职业学院科学研究项目(2022zkzd10)。

摘　　要：目的:探讨宫腔镜冷刀切除术治疗子宫内膜息肉对育龄女性子宫内膜容受性及妊娠率的影响。方法:将90例子宫内膜息肉患者根据手术方案不同分为观察组(宫腔镜冷刀切除术)和对照组(宫腔镜电切术),每组45例。比较2组患者的手术操作时间、术中出血量、术后阴道流血时间、术后3个月月经失血图(PBAC)评分、排卵期子宫内膜厚度、并发症发生率以及妊娠率和复发率。结果:观察组患者的手术操作时间、术后阴道流血时间显著缩短,术中出血量显著减少;术后3个月,观察组患者PBAC评分和排卵期子宫内膜厚度均显著高于对照组;观察组患者并发症发生率和复发率显著降低,妊娠率显著升高,差异均有统计学意义(P<0.05)。结论:与电切术相比,冷刀切除术治疗子宫内膜息肉具有手术操作时间短、术中出血量少、术后恢复快等优势,有利于提高妊娠率。Objective:To investigate the effects of hysteroscopic cold knife resection on endometrial receptivity and pregnancy rates in women of reproductive age with endometrial polyps.Methods:Ninety patients with endometrial polyps were divided into an observation group(hysteroscopic cold knife resection,n=45)and a control group(hysteroscopic electric resection,n=45)based on the different surgical procedures.Surgical operation time,intraoperative bleeding,duration of postoperative vaginal bleeding,postoperative 3-month pictorial blood loss assessment chart(PBAC)score,endometrial thickness at ovulation,complication rate,pregnancy rate,and recurrence rate were compared between the two groups.Results:The observation group exhibited significantly shorter surgical operation time and postoperative vaginal bleeding duration and reduced intraoperative blood loss compared to the control group.Three months postoperatively,PBAC scores and endometrial thickness during the ovulation phase were significantly higher in the observation group.Additionally,the observation group demonstrated significantly lower complication and recurrence rates and a higher pregnancy rate,with all differences being statistically significant(P<0.05).Conclusion:Compared to electric resection,cold knife resection for the treatment of endometrial polyps offers advantages such as shorter operative time,reduced intraoperative blood loss,and faster postoperative recovery,thereby improving pregnancy rates.

关 键 词：子宫内膜息肉 宫腔镜冷刀切除术 子宫内膜容受性 妊娠率 

分 类 号：R737.33[医药卫生—肿瘤]