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目的:探讨宫腔镜下电切术与刮宫术治疗子宫内膜息肉不孕患者的疗效。方法:共纳入160例子宫内膜息肉不孕的患者,采用随机数字法平均分为两组,A组给予宫腔镜下刮宫术治疗;B组给予宫腔镜下电切术治疗。观察两组患者术中及术后的情况。结果:术中两组患者比较结果显示:A组(刮宫术组)与B组(电切术组)相比,平均手术时间、平均住院时间及平均术中出血量之间差异无统计学意义(P>0.05)。两组患者月经量比较结果显示:与A组(刮宫术组)患者相比,B组(电切术组)患者术前月经量比较差异无统计学意义(P>0.05);但术后月经量比较,均低于A组(刮宫术组)患者,且差异比较有统计学意义(P<0.05)。两组患者术后比较结果显示:A组(刮宫术组)与B组(电切术组)相比,术后两组患者复发人数分别为18例(22.5%)VS 6例(7.5%),妊娠人数分别为40例(50.0%)VS 66例(82.5%),差异比较均有统计学意义(P<0.05)。结论:对于EP不孕的患者,虽然宫腔镜下电切术与刮宫术均可以得到较好的疗效,但宫腔镜下电切术治疗患者的预后效果更确切,不仅预后复发率少,且其术后的妊娠率更高,值得临床推广应用。
Objective: To investigate the efficacy of hysteroscopic resection and curettage in the treatment of endometrial polyps infertility. Methods: A total of 160 cases of infertility with endometrial polyps were enrolled. The patients were equally divided into two groups by random number method. Group A received hysteroscopic curettage; Group B received hysteroscopic resection. Observation of two groups of patients during and after surgery. Results: There was no significant difference in the average operation time, average length of hospital stay and average blood loss between group A and group B (electrosurgical group) in group A (P> 0.05). Menstrual volume comparison between the two groups showed that there was no significant difference in preoperative menstrual flow in group B (electrosurgical group) compared with group A (curettage group) (P> 0.05) The results were statistically significant (P <0.05), which were lower than those in group A (curettage group). The postoperative comparisons between the two groups showed that the number of recurrence in the two groups was 18 cases (22.5%) vs 6 cases (7.5%) in group A (curettage group) and group B (resection group) , Respectively. There were 40 cases (50.0%) vs 66 cases (82.5%) of the pregnant women, the differences were statistically significant (P <0.05). Conclusion: For hysteroscopic infertility patients, hysteroscopic resection and curettage can achieve good results, but hysteroscopic resection of the prognosis of patients is more accurate, not only the prognosis less recurrence rate, And its postoperative pregnancy rate is higher, it is worth clinical promotion and application.