摘要
目的探讨宫腔镜刨削(IBS)系统治疗子宫内膜息肉(EP)、黏膜下子宫肌瘤(SMM)及流产后宫腔残留(ITR)的临床疗效及安全性评价。方法采用回顾性分析方法,将接受IBS系统治疗的EP、SMM及ITR共131例为研究组(IBS组),同期接受普通宫腔镜电切系统治疗的154例为对照组(普通电切组),分别比较两组患者术中情况及手术疗效,并随访术后并发症的发生情况。结果IBS系统治疗子宫内膜息肉术中出血量、手术时间及住院时间均显著低于普通电切组(P<0.05)。IBS系统治疗黏膜下肌瘤术中出血量及住院时间均显著低于普通电切组(P<0.05);其手术时间与普通电切组比较无显著性差异(P>0.05)。IBS系统治疗宫腔残留术中出血量与普通电切组比较无显著性差异(P>0.05);其手术时间及住院时间均显著低于普通电切组(P<0.05)。三种疾病使用IBS系统治疗后其显效率均显著高于普通电切组(P<0.05)。三种疾病使用IBS系统治疗术后并发症与普通电切组对比均无显著性差异(P>0.05)。结论IBS治疗手术时间相对较短,患者恢复快,虽不能显著降低不良反应发生率,但具有更好的手术疗效,值得在临床上广泛使用。
Objective To analyze the clinical efficacy and safety evaluation of intrauterine BIGATTI shaver(IBS)system in the treatment of endometrial polyps(EP), submucous myoma(SMM) and intrauterine residue(ITR). Methods Using retrospective analysis methods, 131 cases of EP, SMM and ITR who received IBS system treatment were included in the study group, and 154 cases who received the treatment of ordinary hysteroscopic resection system at the same time were used as the control group. The intraoperative conditions and surgical efficacy of the two groups of patients were compared, and the occurrence of postoperative complications were followed up. Results The bleeding volume, operation time and hospital stay time in the treatment of endometrial polyps with IBS system were lower than those in the ordinary electrosurgical group significantly(P<0.05). The intraoperative blood loss and stay time in the treatment of submucosal fibroids with IBS system were lower than those in the ordinary electrosurgical group significantly(P<0.05). There was no significant difference in the operation time compared with the ordinary electrosurgical group(P>0.05). There was no significant difference in blood loss and operation time between the IBS system in the treatment of uterine cavity residues and the ordinary electric resection group(P>0.05). The stay time of IBS system in the treatment of uterine cavity residues was shorter than the ordinary electric resection group significantly(P<0.05). The significant efficiency of the three diseases treated with the IBS system was higher than that of ordinary electrosurgical treatment(P<0.05). There was no significant difference between the postoperative complications of the three diseases treated with the IBS system and the ordinary electrosurgical group(P>0.05). Conclusion IBS system treatment has a shorter operation time, and the patient recovers quickly. Although it cannot significantly reduce the incidence of adverse reactions, it has a better surgical effect and is worthy of widespread clinical use.
作者
刘巧
金红
李娟
LIU Qiao;JIN Hong;Li Juan(Hefei First People's Hospital,Hefei Binhu Hospital,Hefei,Anhui 230092,China)
出处
《中国优生与遗传杂志》
2021年第11期1590-1593,共4页
Chinese Journal of Birth Health & Heredity
关键词
宫腔镜刨削
子宫内膜息肉
黏膜下子宫肌瘤
流产后宫腔残留
临床疗效
hysteroscopy
endometrial polyps
submucosal uterine fibroids
uterine residual after abortion
clinical efficacy
