巴楚医学2026，Vol.9Issue(1)：45-50,6.DOI:10.3969/j.issn.2096-6113.2026.01.005
宫腔镜下冷刀切除术与双极电切术治疗宫腔粘连的临床效果对比
Comparison of Clinical Effects between Hysteroscopic Cold Knife Resection and Bipolar Electrosurgery in the Treatment of Intrauterine Adhesions
摘要
Abstract
Objective:To assess the clinical effectiveness of hysteroscopic cold knife resection and bipolar electrocautery techniques for managing intrauterine adhesions.Methods:A total of 288 patients with intrauterine adhesions treated in Yichang Central People's Hospital from January 2021 to July 2024 were randomly divided into a control group(n=144)and an observation group(n=144)using a random number table method.They underwent hysteroscopic bipolar resection and hysteroscopic cold knife resection,respectively.The surgical related indicators,endometrial thickness,adhesion recurrence,pregnancy outcomes,and incidence of complications were compared between the two groups.Results:The observation group had less surgical time,intraoperative bleeding,use of uterine distension fluid,and hospital stay than those of control group(all P＜0.05).Two months after the operation,the endometrial thickness of patients in the observation group[(9.52±1.52)mm vs(8.69±1.27)mm]was significantly higher than that of the control group(P＜0.05).The total pregnancy rate of the observation group(90.28％vs 79.17％)was higher than that of the control group,and the recurrence rate of adhesions(6.94％vs 20.83％)was significantly lower than that of the control group(both P＜0.05).There was no statistically significant difference in the total incidence of complications between the observation group and the control group(3.47％vs 4.17％)(P＞0.05).Conclusion:The cold knife resection under hysteroscopy has a definite effect on the treatment of intrauterine adhesions,which can effectively reduce surgical time,intraoperative bleeding,and hospitalization time,improve endometrial thickness,significantly reduce the recurrence rate of intrauterine adhesions,and has good safety.关键词
宫腔镜下冷刀切除术/宫腔镜双极电切术/宫腔粘连Key words
hysteroscopic cold knife resection/hysteroscopic bipolar electrosurgery/intrauterine adhesions分类
医药卫生引用本文复制引用
陈力,叶红,韩庆,曾淑华..宫腔镜下冷刀切除术与双极电切术治疗宫腔粘连的临床效果对比[J].巴楚医学,2026,9(1):45-50,6.基金项目
湖北省自然科学基金项目(2024AFD189) （2024AFD189）
