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目的:观察宫腔镜电切术联合米非司酮治疗子宫内膜息肉的疗效。方法:2009年该院92例子宫内膜息肉患者随机分为两组,观察组46例采用宫腔镜电切术联合米非司酮治疗,对照组46例采用传统刮宫术治疗,比较观察两组的临床疗效、对月经量的影响及复发情况。结果:两组的手术成功率均为100%,而观察组的手术时间及术中出血量明显少于对照组,差异无统计学意义(P>0.05)。两组术后6个月及12个月月经量均较术前明显减少(P<0.05)。观察组术后6个月及12个月月经量均明显小于同期对照组(P<0.05)。观察组的复发率明显低于对照组(P<0.05)。结论:宫腔镜电切术联合米非司酮对子宫内膜息肉进行治疗,具有手术时间短,术中出血量少及复发率低等优点,值得临床推广应用。
Objective: To observe the efficacy of hysteroscopic electrotomy combined with mifepristone in the treatment of endometrial polyps. Methods: Ninety-two patients with endometrial polyps from the hospital in 2009 were randomly divided into two groups. Forty-six cases in the observation group were treated with hysteroscopic electrotomy combined with mifepristone. 46 cases in the control group were treated with conventional curettage, Group clinical efficacy, the impact of menstrual flow and recurrence. Results: The success rate of operation in both groups was 100%, while the operation time and intraoperative blood loss in the observation group were significantly less than those in the control group, with no significant difference (P> 0.05). The menstruation volume of both groups at 6 months and 12 months after operation was significantly lower than that before operation (P <0.05). The observation group 6 months and 12 months after menstruation were significantly less than the control group (P <0.05). The recurrence rate of the observation group was significantly lower than that of the control group (P <0.05). Conclusion: Hysteroscopic electrotomy combined with mifepristone on endometrial polyps for treatment has the advantages of short operative time, less blood loss and low recurrence rate, which is worthy of clinical application.