宫腔镜子宫纵隔冷刀手术与电切术对子宫内膜影响对比研究.docVIP

宫腔镜子宫纵隔冷刀手术与电切术对子宫内膜影响对比研究 　　[摘要]目的 探讨宫腔镜子宫纵隔冷刀手术以及电切术对子宫内膜的作用。方法 选取2016年3月～2017年2月我院收治的62例不全子宫纵隔患者作为研究对象，按照随机数字表法将患者随机分为两组，每组各31例。对照组患者行宫腔镜电切术，观察组患者实施宫腔镜子宫纵隔冷刀手术。观察两组患者的手术情况、子宫内膜愈合、残隔、宫腔黏连情况。结果 观察组患者的操作时间[（15.11±2.82）min]、住院时间[（4.03±0.67）d]短于对照组[（28.04±1.96）min、（8.81±1.92）d]，差异有统计学意义（P0.05）。观察组患者的子宫内膜愈合满意率（93.55%）高于对照组（74.19%），差异有统计学意义（P0.05）。结论 相比宫腔镜电切术，宫腔镜子宫纵隔冷刀手术更具优势，子宫内膜愈合情况更佳，操作时间更短。 　　[关键词]宫腔镜；电切术；子宫纵隔冷刀手术；子宫内膜 　　[中图分类号] R711.52 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0081-03 　　[Abstract]Objective To investigate the effect of hysteroscopic uterine mediastinal cold knife operation and transurethral resection of endometrium.Methods From March 2016 to February 2017，62 patients with uterine mediastinal were selected as the subjects.The patients were randomly divided into two groups.Hysteroscopic resection was performed in the control group.The observation group was treated with hysteroscopic uterine mediastinal cold knife operation.The surgical conditions，endometrial healing，residual，uterine adhesions of two groups were compared.Results The operation time [（15.11±2.82）min] and hospitalization time [（4.03±0.67）d] of the observation group were shorter than those in the control group [（28.04±1.96）min，（8.81±1.92）d]，the differences were statistically significant （P0.05）.The satisfaction rate of endometrial healing was 93.55% in the observation group，which was higher than that in the control group，the difference was statistically significant （P0.05）.Conclusion Compared with hysteroscopic resection，hysteroscopic uterine longitudinal cold knife surgery more advantages，better endometrial healing，shorter operating time. 　　[Key words]Hysteroscopy；Resection；Uterine longitudinal cold knife surgery；Endometrium 　　子?m作为内分泌器官，其功能较为复杂，同时也是激素作用靶器官，其内分泌功能与内膜细胞有关，在子宫疾病治疗中，手术会对患者内分泌功能造成不同程度影响。临床治疗中，随着宫腔镜技术的不断发展，子宫纵隔切除术效果显著，操作方法较多，包括电切除、冷刀、晶体激光等，效果不一[1-3]。此疾病以流产病史或不孕为主要手术指征，予以预防性切除子宫纵隔，能够满足育龄期妇女的生育需求，寻找对生殖预后、子宫内膜影响更小的手术方式极为重要[4]。本研究选取我院收治的62例不全子宫纵隔患者作为研究对象，旨在探讨宫腔镜子宫纵隔电切术以及冷刀手术对患者子