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| Effect and reproductive prognosis of the hysteroscopic intrauterine bigatti shave and hysteroscopic electricity resection for treating endometrial polyps of patients |
| Qionghai People's Hospital, Qionghai, Hainan Province, 571400 |
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Abstract To investigate the clinical effect, safety and reproductive prognosis of the hysteroscopic intrauterine bigatti shave (IBS) and hysteroscopic electricity resection (HEC) for treating endometrial polyps (EPs) of patients. Methods: The clinical data of 330 patients with EPs who were treated in hospital from April 2019 to April 2021 were collected retrospectively. These patients were divided into group A (114 cases with the operative mode of IBS) and group B (216 cases with the operative mode of HEC) according to the different operative mode. The operation-related conditions, the postoperative menstrual rehydration time, the postoperative endometrial recovery situation in 1, 6, and 12 months after surgery, and the surgery outcomes, such as healed, unhealed, intrauterine adhesions, spontaneous pregnancy and recurrence of Eps of the patients were compared between the two groups. Results: The operation time (9.5±1.3min) of the patients in group A was significantly shorter than that (13.1±1.2min) of the patients in group B, and the intraoperative uterine fluid perfusion (2265±19ml) of the patients in group A was significantly less than that (3305±32ml) of the patients in group B (all P<0.05). There were no significant differences in the intraoperative blood loss, the intraoperative complications rate and the duration of hospital stay of the patients between the two groups (P>0.05). The postoperative sodium level (138.88±0.130 mmol/L) of the patients in group A was significantly higher than that (138.23±0.280 mmol/L) of the patients in group B (P<0.05). There was no significant difference in the levels of postoperative potassium, calcium and hemoglobin of the patients between the two groups (P>0.05). The results of the postoperative follow-up showed that the patients in the two groups were cured that evaluated by vaginal color Doppler ultrasound in 1 month after operation. There was no significant difference in the endometrial thickness of the patients during follicular phase between the two groups (P>0.05). The endometrial thickness of the patients in group A during follicular phase in 6 and 12 months after operation (6.6±0.2mm and 6.8±0.2mm) were significantly thicker than those (5.7±0.1mm and 6.2±0.2mm) of the patients in group B. The natural pregnancy rate (66.6%) of the patients in group A was significantly higher than that (29.6%) of the patients in group B (P<0.05). There was no any patient with intrauterine adhesions in both groups after operation. The recurrence rate (0) of the patients in group B in 1 year after operation had no significantly different from that (3.2%) of the patients in group A (P>0.05). Conclusion: IBS for treating the patients with EPs has the advantages of the shorter operation time, the faster postoperative endometrial repair and the higher pregnancy rate, because it avoids the electric heat to damage the endometrium of the patients in a certain extent, and which can improve the protection of the endometrium of the patients.
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