宫腔镜手术治疗子宫内膜息肉的临床应用研究.docVIP

宫腔镜手术治疗子宫内膜息肉的临床应用研究 　　doi：10.3969/j.issn.1007-614x.2014.16.41 　　摘 要 目的：观察宫腔镜手术治疗子宫内膜息肉的临床治疗效果。方法：2011年12月-2013年12月收治子宫内膜息肉患者92例，随机分为对照组和研究组，每组46例，给予对照组传统刮宫术治疗，给予研究组应用宫腔镜手术进行治疗，记录并分析两组相关情况。结果：治疗后，研究组手术时间、住院时间和出血量明显少于对照组，显效率显著高于对照组，无效率低于对照组，比较差异均具有统计学意义（P0.05）。结论：宫腔镜手术治疗子宫内膜息肉的临床治疗效果显著，创伤小，疗效好，值得临床推广。 　　关键词 宫腔镜 子宫内膜息肉 临床应用 　　Clinical application study of hysteroscopy operation in the treatment of endometrial polyp 　　Zhang Liyan 　　Department of Obstetrics and Gynecology，Xishan Peoples Hospital of Wuxi City，Jiangsu 214002 　　Abstract Objective：To observe the clinical curative effect hysteroscopy operation in the treatment of endometrial polyp.Methods：92 cases with endometrial polyp were selected from December 2011 to December 2013.They were randomly divided into the control group and the study group with 46 cases in each.The control group were treated with traditional curettage.The study group were treated with hysteroscopy operation.The relevant informations of the two groups were recorded and analyzed.Results：After treatment，the operation time，hospitalization time and bleeding volume of the study group were less than those of the control group.The markedly effective rate was significantly higher than that of the control group.The inefficiency was lower than that of the control group.The differences were all statistically significant（P0.05）.Conclusion：The hysteroscopy operation in the treatment of endometrial polyp has a significant clinical curative effect.It has less trauma good curative effect，so it is worthy of clinical promotion. 　　Key words Hysteroscopy；Endometrial polyp；Clinical application 　　本文重点分析探讨宫腔镜手术治疗子宫内膜息肉的治疗过程和临床效果，现报告如下。 　　资料与方法 　　2011年12月-2013年12月收治子宫内膜息肉患者92例，随机平均分为对照组和研究组，每组46例。对照组年龄25～48岁，平均年龄（31.52±1.63）岁，其中经量增多、经期延长28例，阴道不规则出血12例，无症状6例；研究组年龄27～46岁，平均年龄（32.34±1.85）岁，经量增多26例，阴道不规则出血13例，无症状7例。两组患者年龄、病理类型等一般情况差异无统计学意义（P0.05），具有可比性。 　　纳入与排除标准：①纳入标准：经妇科检查联合镜检确诊者；所有临床表现均符合子宫内膜息肉者；积极配合治疗者；患者和家属签订知情同意书。②排除标准：子宫病变者；心肝肾功能不健全者；妊娠或哺乳妇女；不配合治疗者；