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目的针对宫腔镜电切术在子宫内膜息肉所致异常子宫出血治疗的研究,寻找对患者疗效较好且无并发症的治疗方法进行治疗。方法选取2010年12月—2016年10月住院治疗的子宫内膜息肉患者128例,随机分为对照组和观察组各64例,对照组采取刮宫术治疗,观察组采取宫腔镜电切术进行治疗,在治疗过程中记录手术时间、术中出血量、住院时间,且在患者出院后1个月、3个月进行回访调查,统计复发情况,有无并发症出现,并进行数据分析说明,计量资料组间比较采用t检验,计数资料采用χ~2检验,以P<0.05为差异有统计学意义。结果观察组复发率为9.38%,对照组复发率为59.38%,两组比较差异有统计学意义(χ~2=35.463,P<0.05)。结论采取宫腔镜电切术对宫内膜息肉患者进治疗复发率低于传统刮宫治疗宫内膜息肉患者,在临床治疗中应推荐使用。
Objective To study the treatment of abnormal uterine bleeding caused by hysteroscopic resection in endometrial polyps and to find out the treatment of patients with better curative effect and no complications. Methods 128 cases of endometrial polyps hospitalized from December 2010 to October 2016 were randomly divided into control group and observation group with 64 cases each. The control group was treated with curettage, and the observation group was treated by hysteroscopic electrotomy During the treatment, the operation time, intraoperative blood loss and hospital stay were recorded, and the patients were interviewed at 1 month and 3 months after discharge. The recurrence was investigated and the complication occurred. Data analysis was performed , Measurement data were compared between groups using t test, count data using χ ~ 2 test to P <0.05 was considered statistically significant. Results The recurrence rate was 9.38% in the observation group and 59.38% in the control group. There was significant difference between the two groups (χ ~ 2 = 35.463, P <0.05). Conclusion Hysteroscopic resection of endometrial polyps in patients with treatment of recurrence rate lower than the traditional curettage of endometrial polyps in patients with clinical treatment should be recommended.