宫腔镜子宫内膜息肉切除术治疗子宫内膜息肉的效果分析.docVIP

宫腔镜子宫内膜息肉切除术治疗子宫内膜息肉的效果分析 　　[摘要] 目的 探讨宫腔镜子宫内膜息肉切除术子宫内膜息肉的效果。 方法 对随机选取该院2012年1月―2014年1月收治的60例子宫内膜息肉患者采用宫腔镜子宫内膜息肉切除术进行治疗，比较两组患者治疗后月经周期的正常率及月经量的变化。 结果 所有患者手术均顺利完成，手术中无子宫穿孔、TURP综合征、周围脏器损伤、宫腔粘连、空气栓塞、大出血等并发症发生，术后无感染、腹痛等不适。手术后6个月经量评分和月经期均显著少于手术前，差异有统计学意义（P中国论文网 /6/view-7242173.htm 　　[关键词] 宫腔镜；子宫内膜息肉切除术；子宫内膜息肉 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0084-02 　　Effect Analysis of Hysteroscopic Resection of Endometrial Polyps in Treatment of Endometrial Polyps 　　CENG Jing 　　Qianjiang Stomatology Hospital， Qianjiang， Hubei Province， 433100 China 　　[Abstract] Objective To discuss the effect of hysteroscopic resection of endometrial polyps in treatment of endometrial polyps. Methods 60 cases of patients with endometrial polyps treated in our hospital from January 2012 to January 2014 were treated with hysteroscopic resection of endometrial polyps， the normal rate of menstrual cycle and changes in menstrual volume of the two groups after treatment were compared. Results All patients had a successful operation， there was no complication such as perforation of uterus， TURP syndrome， peripheral viscera injury， intrauterine adhesious， aeroembolism and hemorrhoea during operation， there was no discomfort such as infection and abdominal pain after operation， the menstrual volume score and menstrual phase at 6 months after operation were obviously fewer than those before operation， the differences were statistically significant （P 　　1.2 仪器与方法 　　器械采用日本Olympus 公司生产的TCRis 等离子双极宫腔电切镜，包括宫腔镜、冷光源和自动液体膨宫器等。术前所有患者进行常规检查，术前1 d口服复方聚乙二醇电解质散清洁肠道，术前1晚行海藻棒宫颈扩张术。术晨禁食，不排尿。均口服、阴道后穹窿放置米索前列醇400 μg，软化宫颈及宫颈扩张。患者取膀胱截石位，常规术野消毒铺巾、导尿，采用日本Aloka超声仪监护手术的全过程，2%利多卡因宫颈局部浸润麻醉后，钳夹子宫颈前唇，置入宫腔电切镜检查宫腔，视野清晰后，仔细观察子宫内膜息肉及蒂部，明确息肉数目、大小、位置及形态，用环形电极切除息肉基底部，深达蒂根下2～3 cm的浅肌层组织，电凝止血，切下组织全部送病检。术后口服复方醋酸环丙孕酮片（批号为：国药准字，1 片/次，3 次/d，连续服用3 周。术后均常规给予抗感染药物，定期随访。术后第3 个月复查宫腔镜。 　　1.3 观察指标 　　观察两组患者治疗后月经周期的正常率及月经量的变化，采用月经失血图（Pictorial Bloodloss Assessment Chart，PBAC） 对治疗前后月经量变化进行评估，依据Higham 标准，每月患者PBAC 评分≥100 分为月经量≥80