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目的:探讨宫腔镜下子宫内膜息肉电切术(TCRP)与宫腔镜定位下刮除术(HPCP)治疗子宫内膜息肉(EP)临床疗效。方法:对2008年2月至2011年8月行TCRP及HPCP患者152例进行分析,其中行TCRP 67例,行HPCP 85例,比较两种治疗方式术后复发情况,不孕患者妊娠情况及临床症状改善情况,随访6-42个月。结果:两种手术方法均能明显改善临床症状,TCRP术后不孕患者11例,妊娠7例;HPCP术后不孕患者8例,妊娠3例,比较无统计差异(χ2=1.27,P>0.05);TCRP术后复发5例,复发时间(15.6±7.6)月,HPCP术后复发16例,复发时间(7.1±3.3)月,比较均有统计学差异(χ2=4.06,P<0.05;t=3.41,P<0.01)。结论:TCRP术和HPCP术均能明显改善临床症状,采用TCRP术可降低EP复发率,延缓复发时间。
Objective: To investigate the clinical effect of hysteroscopic endometrial polypectomy (TCRP) and hysteroscopic curettage (HPCP) in the treatment of endometrial polyps (EP). Methods: From February 2008 to August 2011, 152 patients undergoing TCRP and HPCP were analyzed, including 67 cases of TCRP and 85 cases of HPCP. The postoperative recurrence of the two treatment methods were compared. The pregnancy status and clinical status of infertility patients Symptom improvement, follow-up 6-42 months. Results: Two kinds of operation methods could significantly improve the clinical symptoms. There were 11 cases of infertility after TCRP and 7 cases of pregnancy. There were 8 cases of infertility after HPCP and 3 cases of pregnancy. There was no significant difference (χ2 = 1.27, P> 0.05). There were 5 recurrences after TCRP (15.6 ± 7.6 months), 16 cases relapsed after HPCP (7.1 ± 3.3 months), and there was a significant difference (χ2 = 4.06, P <0.05) t = 3.41, P <0.01). Conclusion: Both TCRP and HPCP can significantly improve clinical symptoms. TCRP can reduce the recurrence rate of EP and delay the relapse time.