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中国当代医药  2022, Vol. 29 Issue (21): 105-107转111    
  妇幼医学 本期目录 | 过刊浏览 | 高级检索 |
宫腔镜下冷刀切除术与电切术治疗子宫内膜息肉不孕症的临床效果
雷桃香      吕旺桂
湖南省郴州市第一人民医院妇科肿瘤外科,湖南郴州   423000
Clinical effect of hysteroscopic cold knife resection and electroresection in the treatment of infertility of endometrial polyps
LEI Taoxiang   LYU Wanggui
Department of Gynecological Oncology, the First People′s Hospital of Chenzhou City, Hu′nan Province, Chenzhou   423000, China
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摘要 目的 探讨宫腔镜下冷刀切除术与电切术治疗子宫内膜息肉不孕症的临床效果。方法 选择2020年11月至2021年5月湖南省郴州市第一人民医院收治的98例子宫内膜息肉不孕症患者为研究对象,按随机数字表法分为对照组与观察组,各49例。对照组实施宫腔镜下电切术,观察组实施宫腔镜下冷刀切除术,术后随访时间均为6个月。比较两组的围手术期相关指标、月经量、并发症、复发及妊娠情况。结果 观察组的手术时间、术后阴道出血时间[(16.65±3.27)min、(2.04±0.35)d]均短于对照组[(25.92±3.24)min、(5.32±0.46)d],差异有统计学意义(P<0.05);两组的术中出血量、月经失血图(PBAC)评分、并发症发生率及复发率比较,差异无统计学意义(P>0.05);观察组术后6个月的妊娠率分别为65.31%,高于对照组的34.69%,差异有统计学意义(P<0.05)。结论 宫腔镜下冷刀切除术与电切术治疗子宫内膜息肉不孕症均可获得确切效果,但宫腔镜下冷刀切除术能够进一步缩短手术及术后阴道出血时间,提高妊娠率,值得临床进一步推广。
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雷桃香
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关键词 子宫内膜息肉不孕症宫腔镜冷刀切除术电切术复发率妊娠情况    
Abstract:Objective To explore the clinical effect of hysteroscopic cold knife resection and electroresection in the treatment of infertility of endometrial polyps. Methods A total of 98 infertility patients with endometrial polyps treated in the First People′s Hospital of Chenzhou City in Hu′nan Province from November 2020 to May 2021 were selected as research objects, they were divided into the control group and the observation group according to random number table method, with 49 cases in each group. Hysteroscopic electroresection was performed in the control group, and hysteroscopic cold knife resection was performed in the observation group. The postoperative follow-up time was 6 months. The perioperative related indexes, menstrual volume, complications, recurrence and pregnancy were compared between the two groups. Results The operation time and postoperative vaginal bleeding time in the observation group ([16.65±3.27] min, [2.04±0.35] d] were shorter than those in the control group ([25.92±3.24] min, [5.32±0.46] d), with significant differences (P<0.05). There were no significant differences in intraoperative bleeding, pictorial blood loss assessment chart (PBAC) score, the incidence of complication and recurrence rate between the two groups (P>0.05). The 6-month pregnancy rate in the observation group was 65.31%, which was higher than 34.69% in the control group, with significant difference (P<0.05). Conclusion Hysteroscopic cold knife resection and electroresection can achieve definite results in the treatment of infertility of endometrial polyps, but hysteroscopic cold knife resection can further shorten the operation and postoperative vaginal bleeding time and improve the pregnancy rate, which is worthy of further clinical promotion.
Key wordsEndometrial polyps    Sterility    Hysteroscope    Cold knife resection    Electroresection    Recurrence rate    Pregnancy
    
引用本文:   
雷桃香; 吕旺桂. 宫腔镜下冷刀切除术与电切术治疗子宫内膜息肉不孕症的临床效果[J]. 中国当代医药, 2022, 29(21): 105-107转111.
LEI Taoxiang; LYU Wanggui. Clinical effect of hysteroscopic cold knife resection and electroresection in the treatment of infertility of endometrial polyps. 中国当代医药, 2022, 29(21): 105-107转111.
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