刘维 江美娇 曾宇晖

[摘要] 目的 探讨宫腔镜下子宫内膜息肉电切术和摘除术后复发率的对比。 方法 回顾性分析2016年1月～2017年3月子宫内膜息肉患者90例，根据手术方法分组。对照组进行宫腔镜下子宫内膜息肉摘除术治疗，观察组行宫腔镜下子宫内膜息肉电切术治疗。比较两组子宫内膜息肉切除效果、手术时间、手术前后患者子宫内膜厚度、SF-36量表评分、随访1年复发率。 结果 观察组子宫内膜息肉切除效果和对照组无显著差异（P>0.05）；观察组手术时间长于对照组（P<0.05）；手术前两组子宫内膜厚度、SF-36量表评分相近（P>0.05）；手术后观察组子宫内膜厚度、SF-36量表评分优于对照组（P<0.05）。观察组随访1年复发率少于对照组（P<0.05）。 结论 子宫内膜息肉患者行宫腔镜下子宫内膜息肉电切术的治疗及效果确切，可有效改善病情，且可更好预防术后复发，提高患者生活质量。

[关键词] 宫腔镜；子宫内膜息肉电切术；摘除术；复发率

[中图分类号] R713.4 [文献标识码] B [文章编号] 1673-9701（2018）25-0068-03

[Abstract] Objective To investigate the comparison between the recurrence rates after hysteroscopic endometrial polyp electrocision and polypectomy. Methods 90 patients with endometrial polyps from January 2016 to March 2017 were retrospectively analyzed. They were assigned to groups according to the surgical method. The control group was given hysteroscopic endometrial polypectomy. The observation group was given hysteroscopic endometrial polyps electrocision. The effect of endometrial polypectomy， the operation time， the endometrial thickness of the patients before and after surgery， and the SF-36 scale score were compared between the two groups， the recurrence rate was followed up for 1 year. Results There was no significant difference in the effect of endometrial polypectomy between the observation group and the control group（P>0.05）； the operation time in the observation group was longer than that in the control group（P<0.05）. The endometrial thickness and SF-36 scale scores were similar between the two groups before surgery（P>0.05）； after operation， the endometrial thickness and SF-36 scale scores in the observation group were better than those in the control group（P<0.05）. The recurrence rate in the observation group at one year follow-up was lower than that in the control group（P<0.05）. Conclusion The curative effect of hysteroscopic endometrial polyps electrocision for patients with endometrial polyps is definite， which can effectively improve the condition， and can better prevent postoperative recurrence and improve the patient's quality of life.

[Key words] Hysteroscopy； Endometrial polyp electrocision； Polypectomy； Recurrence rate

子宮内膜息肉在临床发生率较高，患者可出现阴道不规则出血、月经紊乱等症状。而宫腔镜是治疗子宫内膜息肉和诊断子宫内膜息肉的金标准，目前在临床上已经得到广泛应用[1-2]。相对于摘除术而言，宫腔镜下子宫内膜息肉电切术效果更好，具有微创性和安全性。本研究回顾2016年1月～2017年3月子宫内膜息肉患者90例，根据手术方法分组，对比分析了宫腔镜下子宫内膜息肉电切术和摘除术后复发率，现报道如下。

1资料与方法

1.1一般资料

回顾2016年1月～2017年3月子宫内膜息肉患者90例，根据手术方法分组。观察组年龄23～65岁，平均（33.42±4.12）岁。息肉1～3个，平均（2.25±0.35）个。息肉直径1.0～2.6 cm，平均（1.65±0.32）cm。子宫内膜息肉病程1～5年，平均（2.14±0.12）年。月经量为126～322 mL，平均（210±15）mL。对照组年龄23～65岁，平均（33.46±4.25）岁。息肉1～3个，平均（2.23±0.31）个。息肉直径1.0～2.5 cm，平均（1.68±0.31）cm。子宫内膜息肉病程1～5年，平均（2.15±0.15）年。月……