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目的:探讨双极等离子电切术治疗宫腔疾病的临床疗效及其安全性。方法:选择2010年1月～2012年6月本院妇科收治的子宫内膜息肉和粘膜下肌瘤患者共189例,其中行双极等离子电切治疗者纳入双极组(n=72),行单极电切治疗的患者纳入单级组(n=117)。比较两组手术时间、术中出血量、膨宫液用量、并发症的发生情况并评估两组术后6个月的临床疗效。结果:双极组手术时间、手术出血量、膨宫液用量显著低于单极组(P均<0.05),两组并发症的发生率均无明显差异(P>0.05)。双极组患者术后1月内阴道流血、排液天数显著短于单极组(P<0.05),但两组术后6个月的治疗效果比较无明显差异(P>0.05)。结论:双极等离子电切除术治疗子宫内膜息肉及粘膜下肌瘤具有快速、安全、有效、出血少、手术时间短、膨宫液用量少等优势,并能维持患者电解质平衡,值得临床广泛应用和推广。
Objective: To investigate the clinical efficacy and safety of bipolar plasma-electron excision in the treatment of uterine cavity disease. Methods: A total of 189 patients with endometrial polyps and submucous myomas treated by gynecology in our hospital from January 2010 to June 2012 were enrolled. Among them bipolar group were bipolar group (n = 72) Patients undergoing monopolar electrotomy were included in the single-stage group (n = 117). The operation time, intraoperative blood loss, the amount of distended uterine fluid, the incidence of complications and the clinical efficacy of the two groups after 6 months of operation were compared. Results: The time of bipolar surgery, the amount of bleeding during operation and the dosage of uterine fluid were significantly lower than those in unipolar group (all P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). The patients in bipolar group had vaginal bleeding within one month after operation and the days of discharge were significantly shorter than those in unipolar group (P <0.05). However, there was no significant difference in the therapeutic effect between the two groups at 6 months after operation (P> 0.05). CONCLUSION: Bipolar plasma iontophoresis is a fast, safe and effective method for the treatment of endometrial polyps and submucosal fibroids. It has the advantages of less bleeding, shorter operation time and less uterine fluid volume, and can maintain the electrolyte balance of patients. It is worth clinical Widely used and promoted.