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目的探讨宫腔镜电切技术治疗子宫内膜息肉的疗效。方法回顾性分析50例行宫腔镜电切术治疗子宫内膜息肉患者临床资料。结果 1次手术成功率100%,术后月经量正常、周期规律25例,月经量明显减少11例,绝经14例,均未发生子宫穿孔、空气栓塞、水中毒等并发症。术后随访3年无复发,妊娠20例均顺利妊娠至足月分娩,无胎盘粘连及植入。结论宫腔镜手术是治疗子宫内膜息肉的首选方式。正确选择适应证,提高操作技巧,严格超声监测,是保障手术安全性和疗效的关键措施。
Objective To investigate the efficacy of hysteroscopic electrotomy in the treatment of endometrial polyps. Methods The clinical data of 50 patients undergoing hysteroscopic resection for endometrial polyps were retrospectively analyzed. Results The success rate of one operation was 100%. The postoperative menstrual flow was normal and the cycle was regular in 25 cases. The menstrual flow was significantly reduced in 11 cases and menopause in 14 cases. No complications such as uterine perforation, air embolism, and water intoxication occurred. After 3 years of follow-up, there was no recurrence, and 20 cases of pregnancy were all successfully delivered to term delivery without placental adhesion and implantation. Conclusion Hysteroscopic surgery is the first choice for the treatment of endometrial polyps. The correct selection of indications, improvement of operating skills, and strict ultrasound monitoring are key measures to ensure the safety and efficacy of surgery.