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目的探讨宫腔镜电切技术治疗子宫内膜息肉的疗效。方法回顾性分析128例宫腔镜下息肉电切术患者的手术及随访情况。结果 128例手术均顺利完成,无术中及术后并发症发生,手术时间(18.25±0.5)min,术中出血量平均(32.5±7.27)ml。住院时间1～5d。治疗后随访12～24个月,术后随访满意率达96.1%(123/128),复发4例,无不规则阴道流血者。结论宫腔镜手术无切口,手术时间短,创伤小,出血量少,术后恢复快、保留脏器功能,患者满意度高。故在有条件的医院,应将宫腔镜手术作为治疗子宫内膜息肉的首选方法。
Objective To investigate the efficacy of hysteroscopic resection of endometrial polyps. Methods Retrospective analysis of 128 cases of hysteroscopic polyp resection surgery and follow-up. Results All the 128 cases were successfully completed without any intraoperative or postoperative complications. The operative time (18.25 ± 0.5) min and the intraoperative blood loss were (32.5 ± 7.27) ml. Hospitalization time 1 ~ 5d. After treatment, the patients were followed up for 12 to 24 months. The satisfaction rate after follow-up was 96.1% (123/128) and 4 cases were recurrent. All patients had regular vaginal bleeding. Conclusion Hysteroscopic surgery without incision, the operation time is short, less trauma, less bleeding, postoperative recovery quickly, retain the function of organs, patients with high satisfaction. So in a conditional hospital, hysteroscopic surgery should be used as the preferred method of treatment of endometrial polyps.