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目的探讨宫腔镜电切手术用于子宫内膜息肉导致的异常子宫出血治疗的临床疗效。方法选取本院近年来收治76例子宫内膜息肉导致的异常子宫出血患者随机分为观察组与参考组,各为38例,观察组在宫腔镜下行电切术治疗,参考组采用扩宫电切手术治疗,比较两组患者手术时间、术中出血量、平均住院时间、患者术后并发症发生情况及3年复发率。结果观察组患者手术时间、术中出血量、平均住院时间比较差异有统计学意义(P<0.05);观察者患者术后并发症发生率及复发率均明显低于参考组(P<0.05)。结论宫腔镜电切手术治疗子宫内膜息肉导致的异常子宫出血效果显著,患者机体损伤较少,术后并发症发生率低,复发率低。
Objective To investigate the clinical efficacy of hysteroscopic electrosurgical excision for the treatment of abnormal uterine bleeding caused by endometrial polyps. Methods In our hospital, 76 cases of abnormal uterine bleeding caused by endometrial polyps in recent years were randomly divided into observation group and reference group, with 38 cases in each group. The observation group underwent hysteroscopic resection and the reference group Surgical resection was performed to compare the operation time, intraoperative blood loss, average length of hospital stay, postoperative complications and 3-year recurrence rate in both groups. Results The operation time, intraoperative blood loss and average length of hospital stay in the observation group were significantly different (P <0.05). The incidence of postoperative complications and recurrence in the observer group were significantly lower than those in the reference group (P <0.05) . Conclusion Hysteroscopic resection of endometrial polyps result in abnormal uterine bleeding is significant, less damage to the body, postoperative complications and low recurrence rate.