宫腔镜下刮匙刮除术对子宫内膜息肉不孕患者疗效及子宫内膜厚度的影响.doc

宫腔镜下刮匙刮除术对子宫内膜息肉不孕患者疗效及子宫内膜厚度的影响 　　【摘要】目的：探讨宫腔镜下刮匙刮除术和电切除术对子宫内膜息肉的疗效。方法：将2010年8月至2013年8月医院收治的120例子宫内膜息肉不孕患者按照随机数字表法分为刮匙组60例和电切组60例，刮匙组在宫腔镜下行刮匙刮除术，电切组在宫腔镜下行电切除术。记录两组患者手术一般情况；术后随访1年，记录两组患者术后月经量、排卵期子宫内膜厚度及卵泡呈典型“三线征”比例，并记录两组患者术后1年内复发率和妊娠率。结果：两组患者手术时间、术中出血量、住院时间比较差异无统计学意义，两组患者术后并发症发生率比较差异亦无统计学意义（P0.05）。两组患者术后月经量均显著高于手术前（P0.05），刮匙组1年复发率显著高于电切组（P0.05）。结论：宫腔镜下刮匙刮除术和电切除术对子宫内膜息肉均可以取得满意效果；对于有生育要求的患者，可以优先考虑刮匙刮除术；对于无生育要求的患者，可以优先考虑电切除术 【关键词】宫腔镜；刮匙刮除术；电切除术；子宫内膜息肉；子宫内膜厚度 Clinical effect of hysteroscopic curettage on infertile patients with endometrial polyps and its impact on endometrial thicknessSHAO Wei1， LIU Xiao1， SHI Xiao1， Niu Zhaoyuan2△. 1. Department of Obstetrics， Jiaozhou Central Hospital， Qingdao 266300， Shandong， China； 2. Department of Gynecology， The Hospital Affiliated to Qingdao University， Qingdao 266300， Shandong， China 【Abstract】Objectives： To explore the clinical effect of hysteroscopic curettage on infertile patients with endometrial polyps and its impact on endometrial thickness. Methods： 120 infertile patients with endometrial polyps treated in hospital from August 2013 to August 2010， according to random digit table method， were divided into curette group （n=60） and transurethral resection group （n=60）. The curette group underwent hysteroscopic curettage while transurethral resection group underwent hysteroscopic electroresection. General operation information of the two groups was recorded； in the 1-year follow-up， the menstrual blood volume， endometrial thickness during ovulation period and the proportion of follicles with typical “three lines” was recorded， as well as the postoperative recurrence rate and pregnancy rate. Results： Difference in operative time， blood loss， hospitalization time between the two groups was not significant （P0.05）， so as the incidence of postoperative complications （P0.05）. The postoperative menstrual blood volume was significantly higher than those before operation in both groups （P0.05）， while the 1-year recurrence ra