宮腔鏡下子宮內膜電切術治療子宮內膜息肉的臨床療效

陳秀華 楊彩霞 聶義 劉念 于凌翔 劉晶 汪華生

【摘要】 目的 觀察宮腔鏡下子宮內膜電切術治療子宮內膜息肉的臨床價值及優越性。方法 100例

子宮內膜息肉患者， 按照手術方式不同分為對照組和觀察組， 每組50例。對照組患者采用傳統刮宮術治療， 觀察組患者采用宮腔鏡下子宮內膜電切術治療。比較兩組患者術中出血量、手術時間、術后住院時間、術后子宮內膜息肉復發及并發癥發生情況。結果 觀察組患者術中出血量（43.2±8.1）ml少于對照組的（59.6±9.6）ml， 手術時間（35.2±10.1）min及術后住院時間（3.7±0.9）d短于對照組的（49.1±9.2）min、

（5.1±0.6）d， 差異具有統計學意義（P<0.05）。觀察組患者術后子宮內膜息肉復發率、并發癥發生率分別為4.0%、12.0%， 均顯著低于對照組的16.0%、30.0%， 差異具有統計學意義（P<0.05）。結論 對于子宮內膜息肉患者， 宮腔鏡下子宮內膜電切術臨床效果顯著， 同時術后并發癥少， 作為一種微創手術， 值得臨床推廣。

【關鍵詞】 子宮內膜息肉;宮腔鏡;電切術;并發癥

DOI：10.14163/j.cnki.11-5547/r.2019.27.003

Clinical efficacy of hysteroscopic endometrial resection in the treatment of endometrial polyps ? CHEN Xiu-hua， YANG Cai-xia， NIE Yi， et al. Department of Gynecology， Qitai Hospital of the Sixth Division of Xinjiang Production and Construction Corps， Changji 831800， China

【Abstract】 Objective ? To observe the clinical value and superiority of hysteroscopic endometrial resection in the treatment of endometrial polyps. Methods ? A total of 100 patients with endometrial polyps were divided by different surgical methods into control group and observation group， with 50 cases in each group. The control group was treated with traditional curettage， and the observation group was treated with hysteroscopic endometrial resection. Comparison was made on amount of intraoperative hemorrhage， operation time， postoperative hospitalization time， recurrence of endometrial polyps and complications after operation between the two groups. Results ? The amount of intraoperative hemorrhage （43.2±8.1） ml in the observation group was less than （59.6±9.6） ml in the control group， and operation time （35.2±10.1） min and postoperative hospitalization time （3.7±0.9） d were shorter than （49.1±9.2） min and （5.1±0.6） d in the control group. Their difference was statistically significant （P<0.05）. The recurrence rate of endometrial polyps after operation and incidence of complications were 4.0% and 12.0% respectively， which were all significantly lower than 16.0% and 30.0% in the control group， and the difference was statistically significant （P<0.05）. Conclusion ? Hysteroscopic endometrial resection shows remarkable clinical effect in patients with endometrial polyps with less complications. It is worthy of clinical promotion as a minimally invasive operation.

【Key words】 Endometrial polyps; Hysteroscopic; Electrotomy; Complications

子宮內膜息肉多發于35～45歲育齡期婦女， 是一種常見的子宮內膜病變。易引起多種并發癥如盆腔炎、不孕不育、子宮內膜息肉扭轉等， 嚴重影響患者生活質量及身心