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| Effects of hysteroscopic electrotomy for treating women with endometrial polyps on their endometrial thickness, serum VEGF level, and menstrual blood volume |
| 1. Gaochun People's Hospital, Jiangsu Province, 210011；2. The Second Affiliated Hospital of Nanjing Medical University |
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Abstract To analyze the effects of hysteroscopic electrotomy for treating women with endometrial polyps on their endometrial thickness, serum vascular endothelial growth factor (VEGF) level, and menstrual blood volume. Methods: 100 women with endometrial polyps were selected and were divided into two groups according to the random number table method from April 2015 to September 2018. The women in the observation group were treated with hysteroscopic electrotomy, and the women in the control group were treated with hysteroscopic curettage. After 12 months of followed up, the bleeding volume, operation time, hospitalization time, endometrial thickness, serum VEGF level, pictorial blood loss assessment chart (PBAC) scores, and the rates of recurrence and pregnancy of women were compared between the two groups. Results: There were no significant differences in intraoperative blood loss, operative time, and hospital stay time of women between the two groups (P＞0.05). After 3, 6, and 12 months of followed up, the endometrial thickness, serum VEGF level, and PBAC score of women in both groups had all decreased significantly, and those of women in the observation group were significant lower than those of women in the control group (P＜0.05). Within 12 months after operation, there were 3 (5.9%) cases with recurrence and 30 (60.0%) cases with pregnancy in the observation group, and there were 10 (20.0%) cases with recurrence and 28 (56.5%) cases with pregnancy in the control group. The recurrence rate of women in the observation group was significant lower than that of women in the control group (P＜0.05). Conclusion: Hysteroscopic electrotomy for treating women with endometrial polyps has high effectiveness, which has higher improvement degree of endometrial thickness, VEGF level, and PBAC score of women when compared to those of hysteroscopic curettage, and has less recurrence rate.
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