摘要
目的:探究宫腔镜电切术对子宫内膜息肉患者疗效及月经恢复的影响。方法:本研究选取2022年4月—2024年4月在新余袁河医院就诊的100例子宫内膜息肉患者,采用随机数字表法将其分为对照组(50例,接受宫腔镜检查联合刮宫治疗)和观察组(50例,接受宫腔镜电切术治疗)。比较两组的治疗效果、围手术期指标、月经恢复情况、并发症发生率及复发率。结果:治疗后,观察组治疗总有效率高于对照组,术后6个月子宫内膜厚度大于对照组,术中出血量、术后3个月和6个月时的月经量少于对照组,手术时间、住院时间短于对照组,月经恢复正常时间早于对照组,并发症发生率低于对照组(P<0.05)。两组复发率比较,差异无统计学意义(P>0.05)。结论:宫腔镜电切术治疗子宫内膜息肉具有较高的治疗有效率,能显著减少手术过程中的出血量,并有效缩短手术时间及患者的住院时间,有效保护子宫内膜,改善月经恢复情况,且并发症发生率较低。
Objective:To explore the efficacy of hysteroscopic electrosurgical resection for endometrial polyps and its influence on menstrual recovery.Method:A total of 100 patients with endometrial polyps treated at Xinyu Yuanhe Hospital from April 2022 to April 2024 were randomly assigned using a digital table into a control group(n=50,undergoing hysteroscopic examination combined with curettage)and an observation group(n=50,undergoing hysteroscopic electrosurgical resection).Treatment outcomes,perioperative indicators,menstrual recovery,complication rates,and recurrence rates were compared between groups.Result:After treatment,the total efficacy rate of treatment in the observation group was higher than that in the control group,and endometrial thickness at 6 months postoperative in the observation group was found to be significantly greater than that in the control group,the intraoperative blood loss and menstrual volume at 3 months and 6 months after surgery in the observation group were significantly less than those in the control group,the operation time,hospital stay in the observation group were shorter than those in the control group,time to return to normal menstruation of the observation group was earlier than that of the control group,and the complication rate of the observation group was significantly lower than that of the control group(P<0.05).There was no statistically significant difference in the recurrence rate between the two groups(P>0.05).Conclusion:Hysteroscopic electrosurgical resection offers superior treatment efficacy for endometrial polyps,reduces intraoperative blood loss,shortens surgical and hospitalization durations,effectively protect the endometrium,improves menstrual recovery,and minimizes complications.
作者
林兰
辛佳凌
LIN Lan;XIN Jialing(Department of Obstetrics and Gynecology,Xinyu Yuanhe Hospital,Xinyu 338000,China;不详)
出处
《中国医学创新》
2025年第29期67-70,共4页
Medical Innovation of China
关键词
宫腔镜电切术
子宫内膜息肉
月经恢复
并发症
Hysteroscopic electrosurgical resection
Endometrial polyps
Menstrual recovery
Complications
