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目的观察宫腔镜下子宫内膜电切术联合刮宫术(dilatation and curettage,D&C)治疗多发性子宫内膜息肉(endometrial polyp,EMP)的效果。方法回顾性分析清远市人民医院2008～2010年间98例异常子宫出血(abnormal uterine bleeding,AUB)经B超联合宫腔镜检查诊断为多发性子宫内膜息肉患者的临床治疗资料,其中50例采用宫腔镜下子宫内膜息肉电切联合刮宫术(A组);48例单纯行宫腔镜下子宫内膜息肉电切术(B组)。结果手术时间A组平均(20.05±0.42)min,B组平均(18.20±0.35)min,出血量A组平均(32.05±0.61)ml,B组平均(30.10±0.52)ml,1年内息肉复发率A组为2.0%(1/50),B组为4.17%(2/48),以上各项两组比较,差异均无统计学意义(P>0.05);1年内异常子宫出血复发率A组为2.0%(1/50);B组为10.42%(5/48);两组比较差异有统计学意义(P<0.05)。结论宫腔镜下多发性子宫内膜息肉电切术联合刮宫术安全有效,更能降低术后异常子宫出血复发率。
Objective To observe the effect of hysteroscopic endometrial electrotomy combined with dilatation and curettage (D & C) in the treatment of multiple endometrial polyp (EMP). Methods The clinical data of 98 cases of abnormal uterine bleeding (AUB) diagnosed as multiple endometrial polyps by B-ultrasonography combined with hysteroscopy in Qingyuan People’s Hospital from 2008 to 2010 were retrospectively analyzed. Among them, 50 cases were treated with Hysteroscopic endometrial polyps combined with curettage (A group); 48 cases of simple hysteroscopic endometrial polyps resection (B group). Results The average operative time in group A was (20.05 ± 0.42) min, in group B was (18.20 ± 0.35) min, in group A was 32.05 ± 0.61, in group B was 30.10 ± 0.52, A group was 2.0% (1/50), B group was 4.17% (2/48), the above two groups were no significant difference (P> 0.05); within 1 year the recurrence rate of abnormal uterine bleeding group A Was 2.0% (1/50) in group B, and 10.42% (5/48) in group B. The difference between the two groups was statistically significant (P <0.05). Conclusion Hysteroscopic multiple endometrial polyps resection combined with curettage safe and effective, and can reduce the recurrence rate of abnormal uterine bleeding.