宫腔镜联合钳夹术与宫腔组织切除动力系统治疗胚物残留的临床效果对比

Comparison of the clinical effects of hysteroscopy combined with forceps and uterine cavity tissue resection power system in the treatment of retained products of conception

摘要:

目的 比较宫腔镜联合钳夹术和组织切除动力系统治疗胚物残留（RPOC）的临床效果。方法 回顾性分析2023年1月－2024年12月该院因RPOC行宫腔镜手术的53例患者的临床资料，根据手术方法不同，分为联合钳夹组（n = 30）和组织切除组（n = 23）。比较两组患者术中和术后情况。结果 两组患者手术完成率分别为96.7%和95.7%，差异无统计学意义（P > 0.05）；联合钳夹组手术时间较组织切除组长，术中出血量和器械插入次数较组织切除组多，差异均有统计学意义（P < 0.05）。两组患者均未发生并发症。两组患者膨宫液使用量、术后2周测量内膜厚度及月经情况比较，差异均无统计学意义（P > 0.05）。结论 宫腔镜组织切除动力系统治疗RPOC，较常用的联合钳夹术创伤小，效率更高。值得临床推广应用。

Abstract:

Objective To compare the clinical effects of hysteroscopy combined with forceps and tissue resection power system in the treatment of retained products of conception (RPOC).Methods A retrospective analysis was conducted on the clinical data of 53 patients who underwent hysteroscopic surgery due to RPOC in the hospital from January 2023 to December 2024. According to different surgical methods, they were divided into the combined forceps group (n = 30) and the tissue resection group (n = 23).Results The completion rates of the two groups of patients were 96.7% and 95.7% respectively, the difference was not statistically significant（P > 0.05）. The operation time of the combined forceps group was longer than that of the tissue resection group, and the intraoperative blood loss and the number of instrument insertions were more than those of the tissue resection group, the differences were statistically significant (P < 0.05). No complications occurred in two groups. There were no statistically significant differences between the two groups in terms of the amount of uterine distension solution used, endometrial thickness measured at 2 weeks postoperatively, or menstrual status (P > 0.05).Conclusion The hysteroscopic tissue resection power system for the treatment of RPOC has less trauma and is more efficient than the commonly used combined clamp surgery. It is worthy of clinical promotion and application.