Abstract：Objective To compare the clinical effects of hysteroscopic electrotomy and hysteroscopic curettage in patients with endometrial polyps. Methods A retrospective analysis of 76 patients with endometrial polyps diagnosed based on pathological results in our hospital from January 2017 to October 2019 was selected. They were divided into control group (n=36) and observation group (n=40) according to different surgical methods. In the control group, hysteroscopic curettage was used, and in the observation group, hysteroscopic electrotomy was applied. The overall response rate, operation time, intraoperative blood loss, hospital stay, menstrual time and volume, and incidence of complications and recurrence rate were compared between the two groups. Results The overall response rate of the observation group was 95.00, which was higher than that of the control group of 80.56%, and the difference was statistically significant (P＜0.05). The amount of intraoperative bleeding in the observation group was less than that in the control group, and the operation time and hospital stay were shorter than those in the control group, with statistical differences(P＜0.05). The menstrual time of the observation group was shorter than that in the control, and the menstrual volume was less compared with the control group, with statistical differences (P＜0.05). The total complication rate and recurrence rate of the observation group were lower than those of the control group, and the differences were statistically significant (P＜0.05). Conclusion Compared with hysteroscopic curettage, hysteroscopic electrotomy has better curative effect on endometrial polyps, which can reduce surgical trauma, shorten the operation and hospital stay, improve their menstrual status and reduce the occurrence of complications. The recurrence rate is low and the safety is high, which is worthy of clinical application.
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