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目的观察分析宫腔镜治疗子宫内膜息肉的疗效及预后。方法总结分析158例宫腔镜下经宫颈子宫内膜息肉切除术患者术中情况及术后恢复情况。结果大多数患者通过该手术治疗,取得良好的临床效果,多数患者术后短时间内有小腹隐痛及少量阴道淋漓出血;所有患者子宫异常出血症状在术后1～3个月完全改善,在术后6～12个月有少部分患者复发,术后12个月有效率达86.7%。34例不孕症患者在术后有18例受孕,受孕率为52.9%。结论宫腔镜下经宫颈子宫内膜息肉切除术(TCRP)是治疗子宫内膜息肉的较佳手术方法。
Objective To observe and analyze the efficacy and prognosis of hysteroscopic treatment of endometrial polyps. Methods A total of 158 cases of hysteroscopic endometrial polyps underwent hysterectomy in patients with intraoperative and postoperative recovery. Results Most patients achieved good clinical results through this operation. Most patients had abdominal pain and a small amount of vaginal bleeding within a short period of time after surgery. All patients had complete improvement of abnormal uterine bleeding 1 to 3 months after operation. After 6 to 12 months a small number of patients relapse, 12 months after the effective rate of 86.7%. 34 cases of infertility patients after surgery in 18 cases of pregnancy, pregnancy rate was 52.9%. Conclusion Hysteroscopic cervical endometrial polypectomy (TCRP) is the best surgical treatment of endometrial polyps.