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目的观察宫腔镜下刮宫术和子宫内膜息肉电切术对子宫内膜息肉不孕患者的疗效。方法选择74例子宫内膜息肉不孕患者,将其随机分为A、B两组,每组37例。A组行宫腔镜下子宫内膜息肉定点刮宫术,B组行宫腔镜下子宫内膜息肉电切术。对比两组患者术前及术后6个月、1年的月经量、复发率及妊娠率。结果两组术前月经量比较差异未见统计学意义(P>0.05);两组术后6个月、1年的月经量、复发率比较差异有统计学意义(P<0.05);两组术后1年的妊娠率比较差异未见统计学意义(P>0.05)。结论宫腔镜下子宫内膜息肉电切术较刮宫术能更明显改善子宫内膜息肉不孕患者的月经量,降低其复发率,并提高其妊娠率。
Objective To observe the effect of hysteroscopic curettage and endometrial polyps resection on patients with endometrial polyps infertility. Methods 74 cases of endometrial polyps infertility patients were randomly divided into A and B groups, 37 cases in each group. A group of hysteroscopic endometrial polyps directed curettage, B group hysteroscopic endometrial polyps resection. The two groups of patients before surgery and 6 months after surgery, 1 year of menstrual flow, recurrence rate and pregnancy rate. Results There was no significant difference in preoperative menstrual flow between the two groups (P> 0.05). There was significant difference in the menstrual flow rate and recurrence rate between the two groups at 6 months and 1 year after operation (P <0.05) There was no significant difference in pregnancy rate after 1 year (P> 0.05). Conclusion Hysteroscopic endometrial polyps resection than curettage can significantly improve the endometrial polyps infertility patients with menstrual flow, reduce the recurrence rate and improve their pregnancy rate.