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目的:探讨子宫内膜息肉的宫腔镜手术治疗及术后复发的预防情况。方法:选择2009年1月～2010年1月该院就诊的子宫内膜息肉患者120例,均行宫腔镜手术治疗,术后采用常规抗感染治疗的58例患者作为对照组,给予激素治疗的62例患者作为观察组,观察患者的手术治疗结果及术后复发情况。结果:手术均成功完成,手术时间平均(26±7)min,术中出血量平均(45±10)ml,住院时间平均(2.0±0.5)天,术后均无严重并发症发生。观察组和对照组患者的一般资料间差异无统计学意义,但观察组术后半年复发率为1.6%,明显低于对照组的13.8%,组间差异有统计学意义(P<0.05)。结论:子宫内膜息肉的宫腔镜手术治疗效果确切,术后激素治疗能够明显减少复发率。
Objective: To explore the hysteroscopic treatment of endometrial polyps and prevention of postoperative recurrence. Methods: From January 2009 to January 2010, 120 patients with endometrial polyps who were treated in this hospital were enrolled in this study. All patients underwent hysteroscopic surgery. Fifty-eight patients with conventional anti-infective therapy were used as control group. Hormone therapy 62 patients as observation group to observe the results of surgical treatment and postoperative recurrence. Results: The operation was completed successfully. The average operation time was (26 ± 7) min. The average amount of bleeding during operation was (45 ± 10) ml. The average length of hospital stay was (2.0 ± 0.5) days. No serious postoperative complications occurred. There was no significant difference in the general data between the observation group and the control group, but the recurrence rate in the observation group was 1.6% at 6 months after operation, which was significantly lower than that in the control group (13.8%). There was significant difference between the two groups (P <0.05). Conclusion: Endometrial polyps hysteroscopic surgery is effective, postoperative hormone therapy can significantly reduce the recurrence rate.