宮腔鏡治療子宮內膜息肉的臨床療效分析

陳潔

[摘要] 目的 對子宮內膜息肉患者應用宮腔鏡下行息肉鉗摘取結合刮宮術治療的效果進行探討。 方法 方便選取該院2015年1月—2018年12月期間收治的40例多發性子宮內膜息肉患者進行研究，隨機分為觀察組與對照組，各20例，對照組患者給予單純宮腔鏡下息肉鉗摘取治療，觀察組患者給予宮腔鏡下行息肉鉗摘取治療結合刮宮術治療，對兩組患者術中出血量、手術時間及住院時間等指標及出血量、復發率情況進行對比。結果 在術中出血量方面，觀察組為（33.61±2.46）mL，對照組為（38.09±2.97）mL，差異有統計學意義（t=3.472，P<0.05）;手術時間方面，觀察組為（19.37±1.27）min，對照組為（15.23±1.49）min，差異有統計學意義（t=3.381，P<0.05）;住院時間方面，觀察組為（3.82±1.22）d，對照組為（5.34±1.46）d，差異有統計學意義（t=4.968，P<0.05）;出血率方面，觀察組（5.00%）明顯低于對照組（20.00%），差異有統計學意義（χ2=7.115，P<0.05）;復發率方面，觀察組無復發患者，對照組為15.00%，觀察組低于對照組，差異有統計學意義（χ2=7.036，P<0.05）。結論 對多發性子宮內膜息肉患者采用宮腔鏡下行息肉鉗摘取結合刮宮術治療，具有出血少，術后患者恢復快，出血率及復發率低等優勢，患者近、遠期療效均比較理想，在臨床中值得推廣應用。

[關鍵詞] 子宮內膜息肉;宮腔鏡;息肉鉗摘取;刮宮術

[中圖分類號] R713? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）06（b）-0057-03

[Abstract] Objective To investigate the effect of hysteroscopic polyp forceps combined with curettage in patients with endometrial polyps. Methods A total of conveniently selected 40 patients with multiple endometrial polyps who were admitted to our hospital from January 2015 to December 2018 were enrolled in the study. They were randomly divided into observation group and control group， 20 cases in each group. The control group received simple hysteroscopic surgery. The polyp forceps were taken and the patients in the observation group were treated with hysteroscopic polyp forceps and combined with curettage. The intraoperative blood loss， operation time and hospitalization time， blood loss and recurrence rate were compared between the two groups. Results In terms of intraoperative blood loss， the observation group was （33.61±2.46） mL， and the control group was （38.09±2.97） mL. The difference was statistically significant （t=3.472， P<0.05）. In terms of operation time， the observation group was （19.37±1.27） min， the control group was （15.23±1.49） min， the difference was statistically significant （t=3.381， P<0.05）. In terms of hospitalization time， the observation group was （3.82±1.22） d， and the control group was （ 5.34±1.46） d， the difference was statistically significant （t=4.968， P<0.05）; in the bleeding rate， the observation group （5.00%） was significantly lower than the control group （20.00%）， the difference was statistically significant （χ2=7.115， P<0.05）; In terms of recurrence rate， the patients in the observation group had no recurrence， and the control group was 15.00%. The observation group was lower than the control group， and the difference was statistically significant （χ2=7.036， P<0.05）. Conclusion For patients with multiple endometrial polyps， hysteroscopic polyp forceps combined with curettage is used， which has less bleeding， quick recovery， lower bleeding rate and lower recurrence rate. The short-term and long-term effects of patients are relatively ideal， it is worthy of promotion and application in the clinic.