CAJ | 학술논문

目的：探讨宫腔镜下不同方式治疗子宫内膜息肉不孕的临床疗效。方法回顾性分析2012年1月~2013年2月本院收治的73例采取宫腔镜下电切术和刮宫术两种不同手术方法治疗子宫内膜息肉不孕患者的临床资料,比较两种手术的平均手术时间、术中出血量及住院天数,分析其临床疗效及患者术后月经量,统计其术后复发率及并发症发生情况。结果电切术组平均手术时间、术中出血量及住院天数与刮宫术组比较,差异无统计学意义(P>0.05)；电切术组总有效率为94.87%,刮宫术组总有效率为79.41%,两组比较,差异有统计学意义(字2=4.017,P=0.045)；两组患者的月经量均比治疗前减少,电切术组月经量减少程度明显大于刮宫术组,差异有统计学意义(P<0.05)；电切术组复发率为2.56%,妊娠率为64.18%,刮宫术组复发率为26.47%,妊娠率为52.94%,电切术组复发率明显低于刮宫术组,妊娠率高于刮宫术组,差异有统计学意义(P<0.05)；两组术后均未发生大出血或感染等并发症。结论宫腔镜下电切术治疗子宫内膜息肉不孕疗效显著,较刮宫术相比复发率低,值得临床推广应用。
목적：탐토궁강경하불동방식치료자궁내막식육불잉적림상료효。방법회고성분석2012년1월~2013년2월본원수치적73례채취궁강경하전절술화괄궁술량충불동수술방법치료자궁내막식육불잉환자적림상자료,비교량충수술적평균수술시간、술중출혈량급주원천수,분석기림상료효급환자술후월경량,통계기술후복발솔급병발증발생정황。결과전절술조평균수술시간、술중출혈량급주원천수여괄궁술조비교,차이무통계학의의(P>0.05)；전절술조총유효솔위94.87%,괄궁술조총유효솔위79.41%,량조비교,차이유통계학의의(자2=4.017,P=0.045)；량조환자적월경량균비치료전감소,전절술조월경량감소정도명현대우괄궁술조,차이유통계학의의(P<0.05)；전절술조복발솔위2.56%,임신솔위64.18%,괄궁술조복발솔위26.47%,임신솔위52.94%,전절술조복발솔명현저우괄궁술조,임신솔고우괄궁술조,차이유통계학의의(P<0.05)；량조술후균미발생대출혈혹감염등병발증。결론궁강경하전절술치료자궁내막식육불잉료효현저,교괄궁술상비복발솔저,치득림상추엄응용。
Objective To investigate the clinical effect of different methods under hysteroscope in the treatment of en-dometrial polyps induced infertility. Methods Clinical data of 73 patients who visited our hospital from January 2012 to February 2013 were retrospectively analyzed and studied.they were taken under hysteroscope cutting operation and curettage two different surgical methods in the treatment of uterine endometrial polyps infertility.The average operation time,bleeding amount and hospitalization days between two kinds of operations was compared respectively.The clinical effect and the amount of menstruation after the operation was analyzed respectively.Recurrence rate and complications of the patients was statisticed respectively. Results Operation time,bleeding volume and hospitalization days in transurethral resection group was compared with curettage group,with no statistical differenc(P>0.05).The total effective rate of transurethral resection group was 94.87%,curettage group was 79.41%,with statistical differenc (χ2=4.017,P=0.045). Patient' s menstrual between two groups before treatment had decreased, and transurethral resection group was significantly greater than that in curettage group,with statistical differenc (P<0.05).In transurethral resection group,the recurrence rate was 2.56%,pregnancy rate of 64.18%,while the recurrence rate was 26.47%,52.94% pregnancy rate in curettage group,transurethral resection of the recurrence rate was significantly lower than curettage group,and the preg-nancy rate was greater than that in curettage group,with statistical differenc (P<0.05).No complications such as bleeding or infection occurred between two groups. Conclusion The clinical effect of hysteroscopic electric resection surgery in the treatment of endometrial polyps in infertility is significant,compared with curettage,which has low recurrence rate,is worthy of clinical popularization and application.