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目的探讨宫腔镜下不同手术方法治疗子宫内膜息肉的临床疗效及术后预防复发方法。方法收集子宫内膜息肉行宫腔镜检查及手术患者168例。用随机表法分为3组,A组56例行宫腔镜定位后行息肉摘除加全面刮宫术;B组54例行宫腔镜下子宫内膜息肉电切术;C组58行宫腔镜下子宫内膜息肉电切术,术后服用炔诺酮治疗3个周期。三组均随诊2年,记录患者子宫内膜息肉的复发情况、月经量情况及再次宫腔镜检查结果等,并作组间比较。结果 A组复发率最高,复发率37.50%(21/56);B组复发率次之,为7.41%(4/54);C组复发率最低,为1.72%(1/58)。三组比较,差异有统计学意义(P<0.05)。结论宫腔镜下子宫内膜息肉电切术治疗子宫内膜息肉疗效优于宫腔镜定位后行息肉摘除加全面刮宫术,行宫腔镜下子宫内膜息肉电切术并术后应用孕激素治疗更有助于治疗及预防子宫内膜息肉的复发。
Objective To investigate the clinical efficacy of hysteroscopic surgical treatment of endometrial polyps and the methods of prevention and recurrence after surgery. Methods 168 cases of endometrial polyps underwent hysteroscopy and surgery. Randomized table were divided into 3 groups, 56 cases of group A underwent hysteroscopy followed by polyp removal and complete curettage; Group B 54 cases of hysteroscopic endometrial polyps resection; C group 58 hysteroscopic uterus Endometrial polyps resection, after norethindrone treatment for 3 cycles. Three groups were followed up for 2 years, recording the recurrence of endometrial polyps in patients, menstrual flow situation and the results of hysteroscopy again, and for comparison between groups. Results The recurrence rate was the highest in group A with a recurrence rate of 37.50% (21/56). The recurrence rate in group B was 7.41% (4/54). The lowest recurrence rate in group C was 1.72% (1/58). Three groups, the difference was statistically significant (P <0.05). Conclusion hysteroscopic endometrial polyps resection of endometrial polyps better than hysteroscopy polyp removal plus full curettage, hysteroscopic endometrial polyps resection and postoperative application of progesterone Treatment is more helpful to treat and prevent the recurrence of endometrial polyps.