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目的:探讨宫腔镜下采取子宫内膜电切术联合刮宫术对于治疗多发性子宫内膜息肉(EMP)患者的临床效果。方法:选取2012年6月至2014年3月在我院确诊为EMP的患者100例,随机平均分为两组,研究组采取宫腔镜下子宫内膜电切术联合刮宫术治疗,对照组单纯采取宫腔镜下子宫内膜电切术治疗。观察两组患者术中出血量、手术时间、一年内子宫息肉的复发率及子宫异常出血的发病率。结果:两组术中出血量、手术时间及子宫息肉复发率比较差异无统计学意义(P>0.05)。研究组子宫异常出血发病率低于对照组,差异有统计学意义(P<0.05)。结论:宫腔镜下电切术联合刮宫术对于治疗EMP的效果更佳,可降低子宫异常出血发病率,安全有效,值得临床进一步推广。
Objective: To investigate the clinical effect of hysteroscopic endometrial resection combined with curettage in the treatment of patients with multiple endometrial polyps (EMP). Methods: A total of 100 patients with EMP diagnosed in our hospital from June 2012 to March 2014 were randomly divided into two groups. The study group was treated by hysteroscopic endometrial resection combined with curettage, while the control group Hysteroscopic simple endometrial resection. Two groups of patients were observed intraoperative blood loss, operation time, the recurrence rate of uterine polyps within one year and the incidence of abnormal uterine bleeding. Results: There was no significant difference between the two groups in the amount of bleeding, the operation time and the recurrence rate of uterine polyps (P> 0.05). The incidence of abnormal uterine bleeding in the study group was lower than that in the control group, with statistical significance (P <0.05). Conclusion: Hysteroscopic combined with curettage is more effective in treating EMP, which can reduce the incidence of abnormal uterine bleeding and is safe and effective. It is worth further clinical promotion.