| 王 锐,李 杰,王 丽,李莹莹,徐福霞,邬 玮.宫腔镜电切术治疗子宫内膜息肉的疗效及影响患者术后复发因素的Logistic回归分析[J].,2022,(12):2313-2317 |
| 宫腔镜电切术治疗子宫内膜息肉的疗效及影响患者术后复发因素的Logistic回归分析 |
| Efficacy of Hysteroscopic Electroresection in the Treatment of Endometrial Polyps and Logistic Regression Analysis of Factors Affecting Postoperative Recurrence of Patients |
| 投稿时间：2021-12-22 修订日期：2022-01-17 |
| DOI：10.13241/j.cnki.pmb.2022.12.023 |
| 中文关键词: 子宫内膜息肉 宫腔镜定位诊刮术 宫腔镜电切术 疗效 复发 因素 |
| 英文关键词: Endometrial polyps Hysteroscopic location diagnosis and curettage Hysteroscopic electric resection Efficacy Recurrence Factors |
| 基金项目:安徽省高等学校人文社科研究项目（12925SK2018B09） |
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| 中文摘要: |
| 摘要 目的：研究宫腔镜电切术治疗子宫内膜息肉的疗效及影响患者术后复发的相关因素。方法：回顾性分析2016年1月-2019年12月安徽省第二人民医院妇科接诊的90例子宫内膜息肉患者的临床资料，根据手术方法的不同分为观察组（n=45，行宫腔镜电切术）和对照组（n=45，行宫腔镜定位诊刮术）。比较两组患者的手术疗效、围手术期指标以及并发症之间的差异，分析术后复发的影响因素。结果：观察组与对照组的有效率分别为91.11%和75.56%，差异有统计学意义（χ2=3.921，P=0.048）；与对照组比较，观察组住院时间缩短，手术时间延长（P<0.05），观察组术中出血量较对照组更少，但是两组术中出血量比较无差异（P＞0.05）；两组患者并发症之间的差异无统计学意义（P＞0.05）；观察组和对照组患者的复发率分别为6.67%和28.89%，差异有统计学意义（χ2=4.441，P=0.035）；多因素logistics回归分析显示：体重指数[OR=1.251，95%CI（1.013-1.537）]、年龄[OR=1.117，95%CI（1.033-1.449）]、流产次数[OR=1.219，95%CI（1.011-1.449）]、息肉数目[OR=1.320，95%CI（1.090-1.670）]以及合并子宫内膜炎[OR=1.344， 95%CI（1.110-1.902）]均是造成患者复发的危险因素（P<0.05）。结论：宫腔镜电切术治疗子宫内膜息肉疗效显著，患者术后恢复更快。在对患者的治疗中，针对年龄较大、肥胖、流产次数过高、息肉数目过多以及合并子宫内膜炎患者建议及时进行随诊，降低术后复发风险。 |
| 英文摘要: |
| ABSTRACT Objective: To study the efficacy of hysteroscopic electroresection in the treatment of endometrial polyps and the related factors affecting postoperative recurrence of patients. Methods: The clinical data of 90 cases of patients with endometrial polyps who were treated in the department of Gynecology of The Second People's Hospital of Anhui Province from January 2016 to December 2019 were retrospectively analyzed. According to different surgical methods, they were divided into observation group (n=45, hysteroscopic electric resection) and control group (n=45, hysteroscopic location diagnosis and curettage). The operative efficacy, perioperative indicators and differences of complications were compared between the two groups, and the influencing factors of postoperative recurrence were analyzed. Results: The effective rate of observation group and control group were 91.11% and 75.56%, respectively, the difference was statistically significant (χ2=3.921, P=0.048). Compared with the control group, the hospital stay of the observation group was shortened, and the operation time was prolonged (P<0.05). The amount of intraoperative bleeding in the observation group was less than that in the control group, but there was no difference between the two groups (P>0.05). There was no significant difference in complications between the two groups (P>0.05). The recurrence rate of observation group and control group were 6.67% and 28.89%, respectively, with statistical significance (χ2=4.441, P=0.035). Multi-factor Logistics regression analysis shows that: body mass index [OR=1.251, 95%CI(1.013-1.537)], age [OR=1.117, 95%CI(1.033-1.449)], number of abortions [OR=1.219, 95%CI(1.011-1.449)], number of polyps [OR=1.320, 95%CI (1.090-1.670)] and complicating endometritis [OR=1.344, 95%CI (1.110-1.902)] were risk factors for recurrence of patients (P<0.05). Conclusion: Hysteroscopic resection of endometrial polyps has a significant effect on the postoperative recovery of patients. In the treatment of patients, timely follow-up is recommended for patients with older age, obesity, high number of abortions, excessive number of polyps and complicating endometritis, so as to reduce the risk of postoperative recurrence. |
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