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.docVIP

精品论文 参考文献 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中心 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，对照组患者则采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，月经量均明显减少（Plt;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（Pgt;0.05），观察组患者月经量明显减少（Plt;0.05），且明显少于对照组（Plt;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（Pgt;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（Plt;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；微型双极电极切除术；子宫内膜息肉 [Abstract] objective to comparative study hysteroscopy under micro scissors to cut off with the micro bipolar electric resection clinical curative effect for the treatment of endometrial polyps. Methods select our June 2014 - June 2015 90 patients with endometrial polyps as the research object，were randomly divided into observation group and control group 45 cases each，observation in miniature bipolar electrode under hysteroscopy group，control group adopts micro scissors to cut off under hysteroscopy surgery patients，compared the clinical efficacy of two groups of patients. Results two groups of patients with residual rate and complication during the indicators，there was no statistically significant difference comparison，two groups of patients for 3 months，6 months after treatment compared with before treatment，menstrual quantity were significantly reduced（P lt; 0.01），and 12 months after treatment，the control group patients with menstrual quantity compared with before treatment，no statistical significance（P gt; 0.05），the observation group of patients with menstrual quantity decreased significantly（P lt; 0.05），and significantly less than the control group（P lt; 0.01）；Two groups of patients with pregnancy rate and the recurrence rate in half year compare difference had no statistical significance（P gt; 0.05）；Pregnancy rate and the recurrence rate within 1 year treatment，observation group were significantly bette