摘要
目的:探讨宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的疗效。方法:共纳入160例子宫内膜息肉不孕的患者,采用随机数字法平均分为两组,A组给予宫腔镜下刮宫术治疗;B组给予宫腔镜下电切术治疗。观察两组患者术中及术后的情况。结果:术中两组患者比较结果显示:A组(刮宫术组)与B组(电切术组)相比,平均手术时间、平均住院时间及平均术中出血量之间差异无统计学意义(P>0.05)。两组患者月经量比较结果显示:与A组(刮宫术组)患者相比,B组(电切术组)患者术前月经量比较差异无统计学意义(P>0.05);但术后月经量比较,均低于A组(刮宫术组)患者,且差异比较有统计学意义(P<0.05)。两组患者术后比较结果显示:A组(刮宫术组)与B组(电切术组)相比,术后两组患者复发人数分别为18例(22.5%)VS 6例(7.5%),妊娠人数分别为40例(50.0%)VS 66例(82.5%),差异比较均有统计学意义(P<0.05)。结论:对于EP不孕的患者,虽然宫腔镜下电切术与刮宫术均可以得到较好的疗效,但宫腔镜下电切术治疗患者的预后效果更确切,不仅预后复发率少,且其术后的妊娠率更高,值得临床推广应用。
Objective： To explore the curative effect of hysteroscopic electroeision and curettage for treatment of infertile patients with endometrial polyps. Methods： A total of 160 infertile patients with endometrial polyps were selected, then they were divided into two groups according to random number table, 80 patients in each group ; the patients in group A were treated with hysteroscopic curettage, while the patients in group B were treated with bysteroscopic electrocision. The intraoperative and postoperative situations in the two groups were observed. Results： There was no statistically significant difference in the mean surgical time, mean hospitalization time, and mean amount of blood loss during operation between group A and group B （ P 〉 0.05 ） . There was no statistically significant difference in the menstrual volume before surgery between the two groups, but the menstrual volume after surgery in group B was statistically significantly lower than that in group A （P 〈 0.05 ） . The recurrence rate and pregnancy rate in group A were 22. 5 % （ 18 patients） and 50. 0% （40 patients） , respectively, while the recurrence rate and pregnancy rate in group B were 7.5% （6 patients） and 82. 5% （66 patients） , respectively, there was statistically significant difference between the two groups （ P 〈 0. 05 ） . Conclusion ： For the infertile patients with endometrial polyps, both hysteroscopic electrocision and curettage could obtain good curative effects, but the effect of hysteroscopic electrocision for prognosis was more exactly, the recurrence rate was low, and the pregnancy rate was high, so the method is worthy to be popularized and applied in clinic.
出处
《中国妇幼保健》
CAS
北大核心
2012年第25期3890-3892,共3页
Maternal and Child Health Care of China
关键词
电切术
刮宫术
子宫内膜息肉
不孕
Eleetrocision
Curettage
Endometrial polys
Infertility
