CAJ | 학술논문

目的：分析宫腔镜下不同方式治疗子宫内膜息肉不孕的临床效果。方法选取本院2012年3月~2013年3月收治的56例子宫内膜息肉不孕患者作为研究对象，按照不同的手术方式将其分为观察组和对照组，各28例。观察组采用宫腔镜下电切术进行治疗，对照组采用刮宫术进行治疗，分析并比较两种手术方式的疗效。结果两组的手术时间、术中出血量及住院时间比较，差异无统计学意义(P>0.05)；观察组的复发率显著低于对照组，差异有统计学意义(P<0.05)；观察组术后的月经量显著少于术前，且明显少于对照组，差异有统计学意义(P<0.05)。结论宫腔镜下电切术和刮宫术治疗子宫内膜息肉不孕，均取得较好疗效，但是宫腔镜下电切术的复发率较低，值得临床推广应用。
목적：분석궁강경하불동방식치료자궁내막식육불잉적림상효과。방법선취본원2012년3월~2013년3월수치적56례자궁내막식육불잉환자작위연구대상，안조불동적수술방식장기분위관찰조화대조조，각28례。관찰조채용궁강경하전절술진행치료，대조조채용괄궁술진행치료，분석병비교량충수술방식적료효。결과량조적수술시간、술중출혈량급주원시간비교，차이무통계학의의(P>0.05)；관찰조적복발솔현저저우대조조，차이유통계학의의(P<0.05)；관찰조술후적월경량현저소우술전，차명현소우대조조，차이유통계학의의(P<0.05)。결론궁강경하전절술화괄궁술치료자궁내막식육불잉，균취득교호료효，단시궁강경하전절술적복발솔교저，치득림상추엄응용。
Objective To analyze the clinical effect of different methods under hysteroscope in the treatment of en-dometrial polyps induced infertility. Methods 56 patients with endometrial polyps induced infertility in our hospital from March 2012 to March 2013 were selected as research objects and divided into observation group and control group according to different surgical methods,28 cases in each group.Hysteroscopic electrotomy was used in observation group,dilation and curettage was used in control group.The effect of two surgical methods was analyzed and compared. Results The surgical time,the amount of bleeding during surgery and hospitalization time between the two groups was compared respectively,with no statistical difference(P>0.05).Relapse rate in the observation group was significantly low-er than that in the control group,with statistical difference (P<0.05).Menstrual volume in the observation group after the surgery was significantly lower than that before the surgery and also significantly lower than that after the surgery in the control group,with statistical difference (P<0.05). Conclusion Hysteroscopic electrotomy and dilation and curettage in the treatment of endometrial polyps have favorable curative effects.Hysteroscopic electrotomy has a lower relapse rate and it is worthy of clinical promotion and application.