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| Comparative analysis of the clinical effects of hysteroscopic electroresection and clamp resection for treating endometrial polyps |
| Nanjing Jiangbei People's Hospital Affiliate to Nantong University, Jiangsu Province, 210048 |
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Abstract To compare the clinical effects of hysteroscopic electroresection and clamp resection for treating endometrial polyps (EP). Methods: The patients with EP were selected as study subjects from March 2017 to June 2019. 106 patients with EP ≥3 pieces were selected in group A, which included 52 cases in group A1 were given hysteroscopic electroresection of EP and 54 cases in group A2 were given clamp resection of EP. The patients with EP <3 pieces were selected in group B, which included 50 cases in group B1 were given hysteroscopic electroresection of EP, and 47 cases in group B2 were given clamp resection of EP. The operative index, and the efficacy, the situations of complications, and the EP recurrence of the patients were compared among these groups. Results: In group A, the intraoperative blood loss and the operation time of the patients in group A1 were significantly lower than those of the patients in group A2 (P＜0.05), but the duration of hospital stay of the patients had no significant different between the two groups (P＞0.05). In group B, there were no significant differences in the intraoperative blood loss, the operation time, and the duration of hospital stay of the patients between group B1 and group B2 (P＞0.05). 6 and 12 months after surgery, the menstrual volume and endometrial thickness of the patients in these group were significantly lower than those before surgery (P＜0.05). In group A, the menstrual volume and the endometrial thickness of the patients in group A1 after surgery were significantly lower than those of the patients in group A2 (P＜0.05). In group B, there were no significant difference in the menstrual volume and the endometrial thickness of the patients after surgery between group B1 and B2 (P＞0.05). There was no significant difference in complication rate of the patients among these groups (P＞0.05). In group A, the recurrence rate of EP of the patients in group A1 was significantly lower than that of the patients in group A2 (P＜0.05), and there was no significant difference in the recurrence time of the patients between the two groups (P＞0.05). In group B, there were no significant differences in the recurrence rate and the recurrence time of EP between group B1 and group B2 (P＞0.05). Conclusion: Both hysteroscopic electroresection and clamp resection can effectively treat EP, but the hysteroscopic electroresection has more effective with lower rate of the recurrence.
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