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目的对宫颈镜下不同方式治疗子宫内膜息肉不孕患者的疗效进行评价。方法子宫内膜息肉不孕患者89例按照分层随机法分为A、B两组,A组44例患者采用宫颈镜下刮匙定点刮除术治疗,B组45例患者采用宫颈镜下子宫内膜息肉电切术治疗,并比较两组患者术后1年子宫内膜厚度形态、月经量、妊娠例数以及复发情况。结果 A组术后1年月经量与治疗前比较,差异无统计学意义(P>0.05),B组术后3、6个月、1年月经量与治疗前比较,差异有统计学意义(P<0.05)。B组术后3、6个月、1年月经量与A组比较,差异有统计学意义(P<0.05)。A组术后6个月妊娠率明显高于B组,差异具有统计学意义(P<0.05);A、B两组术后1年妊娠率比较,差异无统计学意义(P>0.05)。B组术后1年复发率明显低于A组,差异有统计学意义(P<0.05)。结论宫颈镜下刮匙定点刮除术半年内疗效显著,而宫颈镜下子宫内膜息肉电切术则可在术后1年保证较高的妊娠率以及较低的复发率。
Objective To evaluate the efficacy of different methods of endoscopic polypectomy for patients with endometrial polyps infertility. Methods Eighty-nine patients with endometrial polyps infertility were divided into two groups according to the stratified randomized method. Forty-four patients in group A were treated with curettage by cervical curettage, and 45 patients in group B were treated by cervical mirror Endometrial polyps resection, and compared the thickness of the endometrial morphology, menstrual flow, the number of cases of pregnancy and recurrence of the two groups of patients after 1 year. Results There was no significant difference in menstrual volume at 1 year after operation between the two groups (P> 0.05). The amount of menstrual flow in group B at 3, 6 and 1 year after operation was significantly higher than that before treatment P <0.05). The amount of menstrual flow in group B at 3, 6 months and 1 year after operation was significantly higher than that in group A (P <0.05). The pregnancy rate of group A at 6 months after operation was significantly higher than that at group B, the difference was statistically significant (P <0.05). There was no significant difference in the pregnancy rates at 1 year between groups A and B (P> 0.05). The recurrence rate at 1 year after operation in group B was significantly lower than that in group A (P <0.05). Conclusion Cervical curettage curettage within six months of significant effect, and endoscopic polypectomy resection of the endometrium polyp can be 1 year after surgery to ensure a higher pregnancy rate and lower recurrence rate.