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目的:观察分析宫腔镜手术治疗子宫内膜息肉的临床效果。方法:选取我院于2010年12月至2012年12月收治的60例子宫内膜息肉患者的临床资料进行回顾性分析,根据手术方式的不同将其分为对照组和观察组两组,对照组患者进行单纯子宫内膜息肉切除术治疗,观察组患者进行宫腔镜手术治疗,观察两组患者的手术时间、住院时间、术中出血量及不良反应方式情况,比较其治疗效果。结果:观察组患者的手术时间(16.3±8.6)min、住院时间(11.2±3.1)d、术中出血量为(50.6±11.2)ml,与对照组患者的(31.3±6.1)min、(26.2±4.6)d、(100.6±30.3)ml的比较差异有统计学意义(P<0.05),术后观察组患者的有效率为96.7%,与对照组63.3%的有效率比较差异显著,有统计学意义(P<0.05)。观察组患者有1例患者有发热症状,对照组患者4例复发,两组比较差异有统计学意义(P<0.05)。结论:宫腔镜手术治疗子宫内膜息肉有明显的治疗效果,且手术时间短、术中出血量少、术后复发率低、住院时间短,可以在临床上广泛推广。
Objective: To observe and analyze the clinical effect of hysteroscopic surgery for endometrial polyps. Methods: The clinical data of 60 patients with endometrial polyps treated in our hospital from December 2010 to December 2012 were retrospectively analyzed. According to the different surgical methods, they were divided into two groups: control group and observation group Patients in the group were treated with endometrial polypectomy only. The patients in the observation group were treated by hysteroscopy. The operation time, hospitalization time, blood loss and adverse reactions in the two groups were observed and compared. Results: The operation time of the observation group was (16.3 ± 8.6) min, the length of hospital stay was (11.2 ± 3.1) days, the blood loss was (50.6 ± 11.2) ml in the observation group and (31.3 ± 6.1) min in the control group ± 4.6) d and (100.6 ± 30.3) ml, respectively (P <0.05). The effective rate of the postoperative observation group was 96.7%, which was significantly different from that of the control group (63.3%), with statistical significance Significance (P <0.05). One patient in the observation group had fever symptoms, and four patients in the control group had recurrence. The difference between the two groups was statistically significant (P <0.05). Conclusion: Hysteroscopic treatment of endometrial polyps has obvious therapeutic effect, and the operation time is short, less blood loss, postoperative recurrence rate is low, hospitalization time is short and can be widely promoted in clinic.