中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
21期
15-16,17
,共3页
宫腔镜%子宫内膜息肉%不孕%妊娠
宮腔鏡%子宮內膜息肉%不孕%妊娠
궁강경%자궁내막식육%불잉%임신
Hysteroscopy%Endometrial polyp%Infertility%Pregnancy
目的：探讨子宫内膜息肉致不孕患者经宫腔镜治疗的临床效果。方法选取山东日照市人民医院妇科2011年1月至2013年5月确诊的100例子宫内膜息肉致不孕患者，在患者知情同意的前提下，将患者随机分为两组，其中观察组50例患者经宫腔镜电切除手术，对照组50例患者进行临床观察，对两组患者的月经量及妊娠情况进行随访。结果观察组患者1年和2年内妊娠率分别为28%和66%，显著高于对照组10%和24%，均有统计学差异（P<0.05）。治疗前两组患者的月经量无统计学差异（P>0.05）；治疗后观察组患者平均月经量为（128±71.04）mL，显著低于对照组患者（252.50±96.43）mL，有统计学差异（P<0.05）。结论宫腔镜对于子宫内膜息肉的治疗具有重要价值，宫腔镜下电切除术是治疗子宫内膜息肉致不孕的理想方法。
目的：探討子宮內膜息肉緻不孕患者經宮腔鏡治療的臨床效果。方法選取山東日照市人民醫院婦科2011年1月至2013年5月確診的100例子宮內膜息肉緻不孕患者，在患者知情同意的前提下，將患者隨機分為兩組，其中觀察組50例患者經宮腔鏡電切除手術，對照組50例患者進行臨床觀察，對兩組患者的月經量及妊娠情況進行隨訪。結果觀察組患者1年和2年內妊娠率分彆為28%和66%，顯著高于對照組10%和24%，均有統計學差異（P<0.05）。治療前兩組患者的月經量無統計學差異（P>0.05）；治療後觀察組患者平均月經量為（128±71.04）mL，顯著低于對照組患者（252.50±96.43）mL，有統計學差異（P<0.05）。結論宮腔鏡對于子宮內膜息肉的治療具有重要價值，宮腔鏡下電切除術是治療子宮內膜息肉緻不孕的理想方法。
목적：탐토자궁내막식육치불잉환자경궁강경치료적림상효과。방법선취산동일조시인민의원부과2011년1월지2013년5월학진적100례자궁내막식육치불잉환자，재환자지정동의적전제하，장환자수궤분위량조，기중관찰조50례환자경궁강경전절제수술，대조조50례환자진행림상관찰，대량조환자적월경량급임신정황진행수방。결과관찰조환자1년화2년내임신솔분별위28%화66%，현저고우대조조10%화24%，균유통계학차이（P<0.05）。치료전량조환자적월경량무통계학차이（P>0.05）；치료후관찰조환자평균월경량위（128±71.04）mL，현저저우대조조환자（252.50±96.43）mL，유통계학차이（P<0.05）。결론궁강경대우자궁내막식육적치료구유중요개치，궁강경하전절제술시치료자궁내막식육치불잉적이상방법。
Objective To analyze the clinical effect in patients with endometrial polyps lead to infertility by hysteroscopic treatment.Methods From January 2011 to May 2013, in rizhao people's hospital of department of gynaecology. 100 cases of endometrial polyps, upon the patients informed consent, were randomly divided into two groups. 50 patients in the observation group were treated by hysteroscopic resection operation, 50 patients of the control group were given clinical observation, make follow-up of patients in the two groups about the menstruation and pregnancy.Results 1 years and 2 years of pregnancy rate of the patients in the observation group were 28% and 55%, which was signiifcantly higher than 10% and 30% of the control group , there was signiifcant difference (P<0.05). Menstrual blood volume in patients of the two groups had no signiifcant difference before treatment (P>0.05); after treatment, the average menstrual quantity of the patients in the observation group was (128 ± 71.04)mL, which was signiifcantly lower than (252.50 ± 96.43)mL in the control group, there was signiifcant difference (P<0.05).Conclusion Hysteroscopy has important value for the treatment of uterine endometrial polyps, hysteroscopic electric resection is an ideal method in the treatment of uterine endometrial polyps lead to infertility.
