宫腔镜治疗子宫内膜息肉的临床疗效分析

陈洁

[摘要] 目的 對子宫内膜息肉患者应用宫腔镜下行息肉钳摘取结合刮宫术治疗的效果进行探讨。 方法 方便选取该院2015年1月—2018年12月期间收治的40例多发性子宫内膜息肉患者进行研究，随机分为观察组与对照组，各20例，对照组患者给予单纯宫腔镜下息肉钳摘取治疗，观察组患者给予宫腔镜下行息肉钳摘取治疗结合刮宫术治疗，对两组患者术中出血量、手术时间及住院时间等指标及出血量、复发率情况进行对比。结果 在术中出血量方面，观察组为（33.61±2.46）mL，对照组为（38.09±2.97）mL，差异有统计学意义（t=3.472，P<0.05）;手术时间方面，观察组为（19.37±1.27）min，对照组为（15.23±1.49）min，差异有统计学意义（t=3.381，P<0.05）;住院时间方面，观察组为（3.82±1.22）d，对照组为（5.34±1.46）d，差异有统计学意义（t=4.968，P<0.05）;出血率方面，观察组（5.00%）明显低于对照组（20.00%），差异有统计学意义（χ2=7.115，P<0.05）;复发率方面，观察组无复发患者，对照组为15.00%，观察组低于对照组，差异有统计学意义（χ2=7.036，P<0.05）。结论 对多发性子宫内膜息肉患者采用宫腔镜下行息肉钳摘取结合刮宫术治疗，具有出血少，术后患者恢复快，出血率及复发率低等优势，患者近、远期疗效均比较理想，在临床中值得推广应用。

[关键词] 子宫内膜息肉;宫腔镜;息肉钳摘取;刮宫术

[中图分类号] R713          [文献标识码] A          [文章编号] 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.