| Objective To compare the efficacy of hysteroscopic endometrial polypectomy and endometrial polypectomy plus electrocoagulation in treatment of endometrial polyps (EMP). Methods A total of 112 EMP patients admitted from March 2015 to March 2017 were enrolled in the study and divided into two groups according to the numerical random table method, with 56 cases in each. The control group was treated with hysteros copic endometrial polypectomy and electrocoagulation, and the observation group was given hysteroscopic endometrial polypectomy. The operation time, intraoperative blood loss, hospitalization time, menstrual volume before and three months after surgery, VEGF level, pregnancy rate and recurrence rate after operation were compared. Results There was no significant difference in the operation time, intraoperative blood loss and hospitalization time between the two groups (P>0.05). The menstrual volume of the observation group was less than that of control group three months after operation, and the VEGF level was lower than that of control group, and the difference had statistical significance (P<0.05); the pregnancy rate of observation group was higher than that of control group one year after operation, and the recurrence rate was lower than that of control group, and the difference was statistically significant (P<0.05). Conclusion The application of endometrial polypectomy in EMP patients can reduce menstrual volume, reduce the level of vascular endothelial growth factor and the recurrence rate, and improve the pregnancy rate of patients, which is worth clinical promotion. |
