[1]王 琦.宫腔镜电切术治疗子宫内膜息肉的效果及对子宫内膜厚度、临床症状改善情况的影响[J].医学信息,2025,38(21):91-94.[doi:10.3969/j.issn.1006-1959.2025.21.018]
　WANG Qi.Effect of Hysteroscopic Electrotomy on Endometrial Polyps and its Effect onEndometrial Thickness and Improvement of Clinical Symptoms[J].Journal of Medical Information,2025,38(21):91-94.[doi:10.3969/j.issn.1006-1959.2025.21.018]
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宫腔镜电切术治疗子宫内膜息肉的效果及对子宫内膜厚度、临床症状改善情况的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年21期
页码:
91-94
栏目:
论著
出版日期:
2025-11-01

文章信息/Info

Title:
Effect of Hysteroscopic Electrotomy on Endometrial Polyps and its Effect onEndometrial Thickness and Improvement of Clinical Symptoms
文章编号:
1006-1959（2025）21-0091-04
作者:
王 琦
湖口县人民医院妇产科，江西 湖口 332500
Author(s):
WANG Qi
Department of Obstetrics and Gynecology, Hukou County People′s Hospital, Hukou 332500, Jiangxi, China
关键词:
宫腔镜电切术; 子宫内膜息肉; 子宫内膜厚度
Keywords:
Hysteroscopic electrotomy;  Endometrial polyps;  Endometrial thickness
分类号:
R713.4
DOI:
10.3969/j.issn.1006-1959.2025.21.018
文献标志码:
A
摘要:
目的 分析宫腔镜电切术治疗子宫内膜息肉的效果及对子宫内膜厚度、临床症状改善情况的影响。方法 选取2021年1月-2024年5月湖口县人民医院就诊的60例子宫内膜息肉患者作为研究对象，按照随机数字表法将其分为对照组和观察组，各30例。对照组采取宫腔镜诊刮术治疗，观察组采取宫腔镜电切术治疗。比较两组手术指标、术后并发症发生率、月经量、子宫内膜厚度、血红蛋白水平、临床症状改善情况。结果 观察组手术用时、术中出血量、月经复潮时间、月经周期均优于对照组（P＜0.05），而两组住院时间比较，差异无统计学意义（P＞0.05）；观察组术后并发症发生率（3.33%）低于对照组（23.33%）（P＜0.05）；观察组治疗后月经量、子宫内膜厚度均低于对照组，血红蛋白水平高于对照组（P＜0.05）；观察组临床症状各维度评分均低于对照组（P＜0.05）。结论 宫腔镜电切术治疗子宫内膜息肉具有手术高效、并发症少、生理功能恢复良好及临床症状缓解确切的综合优势。
Abstract:
Objective To analyze the effect of hysteroscopic electrotomy on endometrial polyps and its effect on endometrial thickness and improvement of clinical symptoms. Methods A total of 60 patients with endometrial polyps who were treated in Hukou County People′s Hospital from January 2021 to May 2024 were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 30 patients in each group. The control group was treated with hysteroscopic curettage, and the observation group was treated with hysteroscopic electrotomy. The surgical indexes, incidence of postoperative complications, menstrual volume, endometrial thickness, hemoglobin level and improvement of clinical symptoms were compared between the two groups. Results The operation time, intraoperative blood loss, menstrual recovery time and menstrual cycle of the observation group were better than those of the control group (P<0.05), while there was no significant difference in hospitalization time between the two groups (P>0.05). The incidence of postoperative complications in the observation group (3.33%) was lower than that in the control group (23.33%) (P<0.05). After treatment, the menstrual volume and endometrial thickness of the observation group were lower than those of the control group, and the hemoglobin level was higher than that of the control group (P<0.05). The scores of each dimension of clinical symptoms in the observation group were lower than those in the control group (P<0.05). Conclusion Hysteroscopic electrotomy in the treatment of endometrial polyps has the comprehensive advantages of high efficiency, less complications, good recovery of physiological function and definite relief of clinical symptoms.

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更新日期/Last Update: 1900-01-01