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目的:探讨宫腔镜宫内组织物残留电切术的临床治疗效果。方法:选取2015年6月至2016年6月河源市妇幼保健院确诊治疗的宫内组织物残留患者108例,依据随机数表法随机分为宫腔组54例和清宫组54例,清宫组患者给予常规清宫手术治疗,宫腔组患者给予宫腔镜宫内组织物残留电切术治疗,术后给予补佳乐、黄体酮和屈螺酮炔雌醇治疗,统计分析所有患者治疗疗效、术中出血量、术后阴道出血、月经恢复正常时间和宫腔粘连发生情况。结果:宫腔组患者治愈率明显高于清宫组,差异具有统计学意义(P<0.05);宫腔组患者术中出血量、术后阴道出血、月经恢复正常时间和宫腔粘连发生率明显低于清宫组,差异具有统计学意义(P<0.05)。结论:宫腔镜宫内组织物残留电切术可有效提高患者的治疗疗效,且可有效减少术中创伤,有利于患者身体恢复和避免宫腔粘连的发生。
Objective: To investigate the clinical effect of hysteroscopic residual intrauterine tissue resection. Methods: From June 2015 to June 2016, 108 cases of intrauterine tissue residue were diagnosed and treated in Heyuan MCH. According to the random number table method, 54 cases were randomly divided into uterine cavity group and 54 cases in Qing Palace group. Patients were given routine surgical treatment of hysteroscopy, uterine cavity patients given hysteroscopic residual intrauterine tissue resection treatment, postoperative nadrogol, progesterone and drospirenone ethinyl estradiol treatment, statistical analysis of the efficacy of treatment in all patients, Intraoperative bleeding, postoperative vaginal bleeding, menstrual normal time and uterine adhesions happen. Results: The cure rate in uterine group was significantly higher than that in Qing group (P <0.05). The intraoperative blood loss, postoperative vaginal bleeding, normal menstruation recovery and intrauterine adhesions were significantly higher in uterine cavity patients Lower than the Qing group, the difference was statistically significant (P <0.05). Conclusion: Hysteroscopic resection of intrauterine tissue can effectively improve the therapeutic effect of patients, and can effectively reduce intraoperative trauma, is conducive to the recovery of patients with body and to prevent the occurrence of intrauterine adhesions.