宫腔镜下微型剪刀剪除与微型双极电极切除术治疗子宫内膜息肉的比较研究

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1、宫腔镜下微型剪刀剪除与微型双极电极切除术治疗子宫内膜息肉的比较研究长沙市妇幼保健妇女健康屮心湖南长沙410007【摘要】目的对比研究宫腔镜下微型剪刀剪除与微型双极电切除治疗子宫内膜息肉的临床疗效。方法选取我院2014年6月・2015年6月收治的子宫内膜息肉患者90例为研究对象，随机分为观察组和对照组各45例，观察组采用宫腔镜下微型双极电极切除术治疗，对照组患者则釆用宫腔镜下微型剪刀剪除术，对比分析两组患者的临床疗效。结果两组患者手术各项指标、手术残留率及并发症发生率比较差异无统计学意义，两组患者治疗后3个月、6个月与治疗前比较

2、,月经量均明显减少(P<0.01),治疗后12个月，对照组患者月经量与治疗前比较无统计学意义(P>0・05),观察组患者月经量明显减少(P<0.05),且明显少于对照组(P<0.01)；两组患者半年内妊娠率和复发率比较差异无统计学意义(P>0.05)；观察组治疗1年内妊娠率和复发率均明显优于对照组(P<0.05)。结论与宫腔镜下微型剪刀剪除术比较，微型双极电极切除术可在息肉蒂部进行完整切除，方法简便易行，创伤小，术后复发率低，妊娠率高，有较高的临床应用价值。【关键词】宫腔镜；微型剪刀剪除术；

3、微型双极电极切除术；子宫内膜息肉[Abstract]objectivetocomparativestudyhysteroscopyundermicroscissorstocutoffwiththemicrobipolarelectricresectionclinicalcurativeeffectforthetreatmentofendometrialpolyps.MethodsselectourJune2014-June201590patientswithendometrialpolypsastheresearchobjec

4、t,wererandomlydividedintoobservationgroupandcontrolgroup45caseseach,observationinminiaturebipolarelectrodeunderhysteroscopygroup,controlgroupadoptsmicroscissorstocutoffunderhysteroscopysurgerypatients,comparedtheclinicalefficacyoftwogroupsofpatients.Resultstwogroups

5、ofpatientswithresidualrateandcomplicationduringtheindicators,therewasnostatisticallysignificantdiffereneecomparison,twogroupsofpatientsfor3months,6monthsaftertreatmentcomparedwithbeforetreatment,menstrualquantityweresignificantlyreduced(P<0.01),and12monthsaftertr

6、eatment，thecontrolgrouppatientswithmenstrualquantitycomparedwithbeforetreatment,nostatisticalsignificanee(P>0.05),theobservationgroupofpatientswithmenstrualquantitydecreasedsign讦icantly(P<0.05),andsignificantlylessthanthecontrolgroup(P<0.01)；Twogroupsofpati

7、entswithpregnancyrateandtherecurreneerateinhalfyearcomparediffereneehadnostatisticalsignificanee(P>0.05)；Pregnancyrateandtherecurreneeratewithin1yeartreatment,observationgroupweresignificantlybetterthanthatofcontrolgroup(P<0.05).Conclusioncomparedwithmicroscis

8、sorstocutoffunderhysteroscopysurgery,miniaturebipolarelectroderesectioncanbecompleteresection,thepolyppedicledivisionmethodissimpleandeasy