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| The influence of hysteroscopic polypectomy by cold loop for treating women with endometrial polyps on their pregnancy status |
| Lu'an People's Hospital, Anhui province, 237005 |
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Abstract To compare the efficacy and pregnancy status after operation between hysteroscopic endometrial polyp electrocision and hysteroscopic endometrial polypectomy by cold knife. Methods: 90 infertility women with endometrial polyp were selected and were divided into two groups from June 2015 to June 2018. 45 women in group A had received hysteroscopic endometrial polyp electrocision, while 45 women in group B had received hysteroscopic endometrial polypectomy by cold knife. The operation time, intraoperative blood loss, and the time of hospital stay of women were compared between the two groups. The women in both groups were followed up for 1 year, the postoperative complications rate, menstrual volume, recurrence rate and pregnancy situation of women in the two groups were observed. Results: There were no significant difference in intraoperative blood loss, the time of hospital stay, and recurrence rate of women between the two groups (all P＞0.05). The operative time and postoperative vaginal bleeding time of women in group B were 16.6±3.3m and 2.0±0.8d, which were significant shorter than those (25.9 ±3.5m and 5.3±1.1d) of women in group A. The pregnancy rates of women in group B in 6 and 12 months after operation were 64.4% and 77.8%, which were significant higher than those (33.3% and 57.8%) of women in group A (P＜0.05). There was no any woman with postoperative complication in both groups. Conclusion: The hysteroscopic endometrial polypectomy by cold knife is effective and safety, which can reduce the time of operation and time of vagina bleeding, and also can increase pregnancy rate after operation.
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