刘海霞 逯航 苗华艳 马明明

【摘要】 目的 对宫颈息肉治疗采用传统术式与宫腔镜电切术式的两种疗效进行比较，阐述宫腔镜治疗宫颈息肉的优势。方法 选取2015年7月至2018年7月我院诊治的76例宫颈息肉患者的临床资料进行回顾性分析。依据患者知情同意原则分为两组，传统术组32例，宫腔镜术组44例。观察两种治疗方法的疗效。结果 宫腔镜下电切宫颈息肉术中出血量、术后阴道流血时间及复发率均低于传统手术，差异有统计学意义（P<0.05），且宫腔镜能发现妇科检查不能发现的同时隐藏在宫颈管内的小息肉及合并的子宫内膜息肉、子宫内膜病变，使诊断更准确，治疗更彻底。 结论 应用宫腔镜技术在诊治宫颈息肉方面较传统术式有较大优势，可作为治疗宫颈息肉的首选方法。

【关键词】 宫颈息肉;宫腔镜

【中图分类号】R711 【文献标识码】A 【文章编号】2026-5328（2021）05-009-02

AbstractObjective： To compare the curative effects of conventional operation and hysteroscopy in the treatment of cervical polyps ， expatiate the advantages of hysteroscopy in the treatment of cervical polyps.Methods： The clinical data of 76 patients with cervical polyps diagnosed and treated in our hospital from July 2015 to July 2018 were retrospectively analyzed.According to the principle of informed consent， the patients were divided into two groups： the traditional group （32 cases） and the hysteroscopic group （44 cases）.Observe the curative effect of two kinds of treatment methods.Results： The intraoperative blood loss， postoperative vaginal bleeding time and recurrence rate of electricity cut cervical polyp under hysteroscopy were lower than that of traditional surgery， the difference was statistically significant （P < 0.05）. In addition， hysteroscopy can find small polyps hidden in the cervical canal， combined endometrial polyps and endometrial lesions that cannot be found by gynecological examination， making the diagnosis more accurate and the treatment more thorough.Conclusion： Hysteroscopy has more advantages in the diagnosis and treatment of cervical polyps than traditional surgery， and can be used as the first choice for the treatment of cervical polyps.

【 Key words 】 Cervical polyps; hysteroscopy

宮颈息肉是妇科临床上的一种常见病，是宫颈管腺体和间质的局限性增生，向宫颈外口突出形成息肉。临床主要表现为阴道出血、白带增多呈黄色、 血性白带等，发病率为5.1 %。占所有宫颈病变的4%～10 %，高发年龄为30～49岁。大部分起源于宫颈管内，少部分起源于宫颈外，大小为 5～50mm不等。传统盲摘法术中出血多、术后阴道流血时间长、复发率高，影响患者的身心健康。青岛市第三人民医院妇科采用宫腔镜电切术治疗宫颈息肉，直视下观察、电切宫颈息肉蒂根部，使术中出血少，术后阴道流血时间缩短，复发率降低，取得满意的治疗效果。……