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目的研究比较宫腔镜辅助电切术与刮宫术对子宫内膜息肉不孕患者的疗效。方法选择2013年5月至2015年2月在中山市东凤人民医院接受治疗的110例子宫内膜息肉所致不孕患者进行研究,根据数字法随机分成电切组及刮宫组,每组55例。对比两组手术相关指标,随访1年,比较两组患者手术前后的月经量变化,两组患者的复发率及妊娠率,以及两组术后并发症情况。其中月经量的计算使用月经失血图法进行判断。结果两组的手术时间、术中出血量、以及术后康复时间相比差异未见统计学意义(P>0.05)。电切组在术后3个月、6个月及12个月的月经量均少于刮宫组,差异均有统计学意义(P均<0.05)。电切组的复发率显著低于刮宫组,而妊娠率显著高于刮宫组,差异均有统计学意义(P均<0.05)。两组对比术后并发症,差异均未见统计学意义(P>0.05)。结论宫腔镜辅助电切术治疗子宫内膜不孕患者,具有较好的疗效,且安全性较高,值得临床重视。
Objective To compare the curative effect of hysteroscopic assistant resection and curettage on endometrial polyps infertility. Methods From May 2013 to February 2015 in Zhongshan Dongfeng People’s Hospital 110 cases of infertility patients treated with endometrial polyps were studied, according to the digital method were randomly divided into resection group and curettage group, each group 55 example. The operation-related indexes of the two groups were compared and followed up for 1 year. The changes of menstrual flow before and after operation were compared between the two groups. The recurrence rate and pregnancy rate were compared between the two groups and the postoperative complications were compared between the two groups. Which menstrual flow calculation using menstrual blood loss map to judge. Results There was no significant difference in operative time, intraoperative blood loss and postoperative recovery time between the two groups (P> 0.05). The resection group had less menstrual flow at 3 months, 6 months and 12 months after operation than the curettage group (all P <0.05). The recurrence rate of the resection group was significantly lower than that of the curettage group, while the pregnancy rate was significantly higher than the curettage group, the differences were statistically significant (P all <0.05). Comparisons of postoperative complications between the two groups showed no significant difference (P> 0.05). Conclusion Hysteroscopic assisted resection of endometrial infertility patients with better efficacy, and higher safety, it is worth clinical attention.