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目的探讨宫腔镜电切术治疗子宫内膜息肉的临床效果和手术安全性。方法对36例子宫内膜息肉患者行宫腔镜电切除术,术后随访1年。结果采用宫腔镜电切术治疗子宫内膜息肉,手术时间为12～20 min,平均(13±0.23)min,术中出血量8～16ml,平均住院天数3～5d,无术中、术后并发症,随访无复发。结论宫腔镜电切术具有直视下准确切除病灶、手术时间短、创伤小、恢复快、出血少、术后复发率低等优点,是治疗子宫内膜息肉的最佳选择。
Objective To investigate the clinical effect and operative safety of hysteroscopic electrotomy for endometrial polyps. Methods Thirty-six patients with endometrial polyps underwent hysteroscopic resection and were followed up for 1 year. Results Hysteroscopic resection of endometrial polyps was performed. The operation time ranged from 12 to 20 minutes (mean, 13 ± 0.23) minutes. The intraoperative blood loss was 8 to 16 ml. The average length of hospital stay was 3 to 5 days. Postoperative complications were followed up without recurrence. Conclusion Hysteroscopic resection has the advantages of accurate removal of lesions under direct vision, short operative time, less trauma, faster recovery, less bleeding, and low postoperative recurrence rate. It is the best choice for the treatment of endometrial polyps.