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目的探讨子宫内膜息肉使用宫腔镜治疗的临床疗效。方法 100例子宫内膜息肉的患者,按照患者的年龄、是否绝经以及有无生育的需要等情况分别在宫腔镜下给予不同的手术方法 ,分为甲、乙、丙三组,甲组患者42例,为有生育需求者,对其进行息肉和临近息肉的浅层内膜的切除;乙组35例,为无生育需求但未绝经患者,对其进行息肉和子宫内膜切除;丙组23例,为已绝经者,对其进行息肉切除和子宫内膜剥除术。术毕,观察各组的治疗效果和复发等情况。结果甲组复发5例,复发率为11.90%,乙组复发1例,复发率2.86%,丙组无复发病例,甲组复发率相比于乙、丙组高,差异具有统计学意义(P<0.05);62例有月经紊乱的患者,其月经失血评分由治疗前的(308±137)分,恢复为治疗后的(37±22)分,差异具有统计学意义(P<0.05)。结论宫腔镜手术治疗子宫内膜息肉具有良好的治疗效果,息肉和临近息肉的浅层内膜切除方式具有较高的复发率,但适合用于有生育需求者,因此,应当根据患者的年龄、有无生育需求和绝经情况等选择最时候的手术方式。
Objective To investigate the clinical efficacy of hysteroscopic treatment of endometrial polyps. Methods 100 cases of endometrial polyps patients, according to the patient’s age, whether menopause and whether the need for childbearing and so on were given different hysteroscopic surgical methods, divided into A, B, C three groups, patients in group A Forty-two cases of polyps and proximal polyps were resected with polyps and proximal polyps. 35 cases in group B received polyp and endometrial resection for patients without fertility but not in menopause. Group C 23 cases of menopause, their polyps and endometrial ablation. After surgery, observe the treatment effect and recurrence of each group. Results The recurrence rate was 11.90% in group A, 1 in group B, and the recurrence rate was 2.86%. There was no recurrence in group C. The recurrence rate in group A was higher than that in group B and group C (P <0.05). In 62 patients with menstrual disorders, the menstrual blood loss score was restored from 308 ± 137 before treatment to 37 ± 22 after treatment, the difference was statistically significant (P <0.05). Conclusion Hysteroscopic treatment of endometrial polyps has a good therapeutic effect, polyps and proximal polyps shallow endometriosis with a high recurrence rate, but suitable for those with reproductive needs, therefore, should be based on the patient’s age , With or without fertility needs and menopause, choose the most timely surgical methods.