宫腔镜下刨削系统和电切术治疗子宫内膜息肉患者效果及对术后并发症和复发的影响OACSTPCD

Objective To observe the effect of hysteroscopic shaving system and electrotomy in treating patients with endometrial polyps and its influence on postoperative complications and recurrence.Methods A retrospective analysis of clinical data of 83 patients with endometrial polyps admitted to our hospital from June 2020 to July 2022 was conducted.44 cases with endometrial polyps excised by hysteroscopic shaving system were selected as shaving system group,and 39 cases with endometrial polyps excised by hysteroscopic electrotomy during the same period were selected as electrotomy group.The differences in effect,postoperative complications and recurrence were compared between both groups.Results There were no statistically significant differences in general data such as gender,age,and average duration of disease between the two groups(P＞0.05).The surgical time,intraoperative blood loss,length of hospitalisation and dilated fluid volume in shaving system group were all lower than those in electrotomy group(t=10.421,18.310,7.651,and 8.983,respectively,P＜0.001).There was no significant difference in the total incidence of postoperative complications(x2=2.789,P＞0.05).The menstrual recovery time,first menstrual volume and first menstrual duration in shaving system group were significantly lower than those in electrotomy group(t=7.695,3.457,and 2.869,respectively,P＜0.001).At 24 hours after surgery,the levels of luteinizing hormone(LH)and follicle stimulating hormone(FSH)in both groups increased,with shaving system group significantly higher than electrotomy group(t=10.609 and 2.986,respectively,P＜0.05).The postoperative recurrence rate in shaving system group was significantly lower than that in electrotomy group(x2=4.419,P＜0.05).Conclusion Hysteroscopic shaving system can effectively improve the treatment effect,has small impact on ovarian function,and reduce the postoperative recurrence rate.