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目的探讨宫腔镜等离子电切联合刮宫术治疗多发性子宫内膜息肉的疗效。方法 36例多发性子宫内膜息肉患者,随机分为对照组和观察组,观察组19例,对照组17例。两组患者均行宫腔镜下子宫内膜息肉电切手术,观察组患者在此基础上再行刮宫术,对两组患者术中情况、月经改善情况及随访复发情况进行综合比较。结果两组患者手术耗时、术中出血量及住院时间比较差异无统计学意义(P>0.05);观察组患者经治疗后的月经量明显少于对照组(P<0.05);观察组随访复发率(5.26%)明显低于对照组(41.18%),比较差异有统计学意义(P<0.05)。结论在宫腔镜子宫内膜息肉电切术基础上再行刮宫术用于外科治疗多发性子宫内膜息肉效果显著,值得临床推广应用。
Objective To investigate the curative effect of hysteroscopic plasma tangential excision combined with curettage in the treatment of multiple endometrial polyps. Methods Thirty-six patients with multiple endometrial polyps were randomly divided into control group and observation group, 19 cases in the observation group and 17 cases in the control group. Two groups of patients underwent hysteroscopic endometrial polyps resection surgery, the observation group patients on the basis of this curettage again, the two groups of patients with intraoperative conditions, improvement of menstruation and follow-up of recurrence were comprehensively compared. Results There was no significant difference in operative time, blood loss and length of hospital stay between the two groups (P> 0.05). The menstrual flow in the observation group was significantly less than that in the control group after treatment (P <0.05) The recurrence rate (5.26%) was significantly lower than that of the control group (41.18%), the difference was statistically significant (P <0.05). Conclusion The results of hysteroscopic endometrial polyp resection based on the curettage surgery for the treatment of multiple endometrial polyps significant effect, worthy of clinical application.