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目的:探究在子宫内膜息肉不孕症治疗中应用刮宫术与宫腔镜下电切术二者的临床疗效。方法:择取2013年8月至2016年8月在南阳市中医院妇科接受治疗的180例子宫内膜息肉不孕患者进行回顾分析。依据随机数字表法以及对每位不孕症女性所采取治疗手段的不同将其均分至行刮宫术的A组与行宫腔镜下电切术的B组,对比分析不同术式对子宫内膜息肉不孕症患者临床疗效的差异。结果:A、B两组子宫内膜息肉不孕患者经治疗后月经量均有明显改善,但行宫腔镜下电切术患者月经量减少幅度更大,与A组比较,差异具有统计学意义(P<0.05)。同时,B组患者术后复发率与妊娠率分别为6.7%、86.67%,明显优于A组的20%和51.11%,差异具有统计学意义(P<0.05)。结论:较之刮宫术治疗子宫内膜息肉不孕,行宫腔镜下电切术临床效果更佳,复发率更低。
Objective: To explore the clinical efficacy of curettage and hysteroscopic resection in the treatment of endometrial polyps infertility. Methods: A retrospective analysis was performed on 180 cases of endometrial polyps infertility treated in gynecology department of Nanyang Hospital of Traditional Chinese Medicine from August 2013 to August 2016. According to the random number table method and each infertility women adopted by the treatment of different methods will be equally divided into line curettage of the group A and hysteroscopic resection group B, comparative analysis of different surgical methods of intrauterine Differences in clinical efficacy between patients with polyps and infertility. Results: After endometrial polyps infertility patients in groups A and B had significant improvement in menstrual flow, the reduction of menstrual flow in patients undergoing hysteroscopic resection was greater than that in group A, the difference was statistically significant (P <0.05). At the same time, the recurrence rate and pregnancy rate in group B were 6.7% and 86.67%, respectively, which were significantly better than those in group A (20% and 51.11% respectively). The difference was statistically significant (P <0.05). Conclusion: Compared with curettage of endometrial polyps infertility, hysteroscopic resection of the clinical effect is better, the recurrence rate is lower.