摘要
目的:探讨不同宫腔镜手术方案治疗子宫内膜息肉的临床效果及安全性。方法:选取2019年1月—2024年1月福建福能集团总医院收治的100例子宫内膜息肉患者为研究对象。按照治疗术式的不同分为对照组(采用宫腔镜下电切术治疗)49例、观察组(采用宫腔镜下冷刀切除术)51例。比较两组手术相关指标,手术前、后月经症状评分及子宫内膜指标水平变化,并比较两组术后并发症发生率及复发率情况。结果:观察组手术时间、出血量及并发症发生率均低于对照组,差异有统计学意义(P<0.05);术后6个月,两组月经症状评分及子宫内膜厚度、搏动指数(PI)、阻力指数(RI)与术前比较均呈下降趋势,且与同期对照组比较,观察组月经症状评分及子宫内膜厚度、PI、RI更低,差异有统计学意义(P<0.05);观察组与对照组住院时间、复发率比较,差异无统计学意义(P>0.05)。结论:宫腔镜下电切术与宫腔镜下冷刀切除术治疗子宫内膜息肉均具有良好的息肉切除效果,能降低术后复发风险。但与宫腔镜下电切术比较,宫腔镜下冷刀切除术在提高手术效率,改善患者月经症状,促进子宫内膜恢复方面更具优势,且安全性更好。
Objective:To explore the clinical efficacy and safety of different hysteroscopic surgical schemes for the treatment of endometrial polyps.Method:100 patients with endometrial polyps admitted to Fujian Funeng Group General Hospital from January 2019 to January 2024 were selected,and they were divided into 49 cases of control group(treated with hysteroscopic resection)and 51 cases of observation group(treated with hysteroscopic cold knife resection)according to different treatment methods.The changes in preoperative and postoperative menstrual symptom scores,endometrial indicators,surgery related indicators,and incidence of complications were compared.Result:The operation time,blood loss and incidence of complications in the observation group were all lower than those in the control group,and the difference was statistically significant(P<0.05).6 months after operation,the menstrual symptom scores,endometrial thickness,pulsatility index(PI),and resistance index(RI)of both groups showed a downward trend compared with those before the operation.Moreover,compared with the control group in the same period,the menstrual symptom scores,endometrial thickness,PI and RI of the observation group were lower,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the hospital stay between the observation group and the control group(P>0.05).Conclusion:Both hysteroscopic resection and hysteroscopic cold knife resection have good polypectomy effects on endometrial polyps.It can reduce the risk of postoperative recurrence.However,compared with hysteroscopic resection,hysteroscopic cold knife resection has more advantages in improving surgical efficiency,improving patients'menstrual symptoms,and promoting endometrial recovery.It has better security.
作者
岳立春
吴丽美
黄梅姐
YUE Lichun;WU Limei;HUANG Meijie(General Hospital of Fujian Funeng Group,Fuzhou 350025,China;不详)
出处
《中外医学研究》
2025年第25期41-44,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
子宫内膜息肉
宫腔镜电切术
冷刀切除术
疗效
安全性
Endometrial polyps
Hysteroscopy electrocautery
Cold knife resection surgery
Therapeutic effect
Security
