论文部分内容阅读
目的:探讨宫腔镜下不同术式治疗子宫内膜息肉的效果、并发症、复发率。方法:回顾性分析162例应用宫腔镜不同术式治疗子宫内膜息肉患者的临床资料。结果:3组患者均顺利完成手术,无一例并发症发生。在术后月经量变化中,单纯宫腔镜子宫内膜息肉切除术(TCRP)及TCRP加药物联合治疗后月经量均减少,与宫腔镜定位后刮宫术比较,差异有统计学意义。C组患者复发率低(6%)。不孕症行宫腔镜手术的28例患者中,术后成功妊娠13例。结论:3种方法治疗子宫内膜息肉均安全有效,其中单纯TCRP及TCRP加药物联合治疗效果较好,而宫腔镜定位后刮宫术术后复发率较高。宫腔镜手术去除内膜息肉可以明显提高子宫内膜息肉导致不孕症患者的妊娠率。
Objective: To explore the effect of hysteroscopic treatment of endometrial polyps different complications, recurrence rate. Methods: A retrospective analysis of 162 cases of hysteroscopic treatment of endometrial polyps different clinical data. Results: All three groups of patients completed the operation without any complications. In the postoperative menstrual changes, simple hysteroscopic endometrial polypectomy (TCRP) and TCRP combined with medication after menstruation were reduced, and hysteroscopy after curettage compared with the difference was statistically significant. Patients in group C had a low recurrence rate (6%). Hysteroscopic infertility surgery in 28 patients, 13 cases of successful pregnancy. Conclusion: All the three methods are effective and safe for the treatment of endometrial polyps. Among them, the combination of TCRP and TCRP plus drug alone is effective, while the recurrence rate after curettage is higher after hysteroscopy. Hysteroscopic surgery to remove endometrial polyps can significantly improve the rate of pregnancy in patients with endometrial polyps caused by infertility.