Effect of hysteroscopic electroresection for endometrial polyps and its influence factors

LIUZhenyan; ZHANGCai; TANGYizhong

Abstract：ObjectiveTo study the effect and its influence factors of hysteroscopic electroresection for endometrial polyps (EP).MethodsA total of 120 EP patients from July 2016 to July 2018 in our hospital and another municipal third-class a hospital were retrospectivly analyzed. Seventy-two cases who received hysteroscopic electric resection as the observation group.Forty-eight cases who underwent hysteroscopy uterine aspiration as the control group. The operation time, intraoperative bleeding volume, post-operative hospital stay and post-operative complications of two groups were recorded. The pregnancy success rate, abortion rate and recurrence rate of 6 months after operation were compared between the two groups. The logistic multivariate analysis was used to record the independent influence factors of pregnancy after hysteroscopic electrosurgical excision.ResultsThe difference of operation time, intraoperative bleeding volume, hospitalization time after operation and incidence of complications between the two groups were not significant (P>0.05). The pregnancy success rate of the observation group was significantly higher than that of the control group (P<0.05). The difference of abortion rate and recurrence rate between the two groups were not significant (P>0.05). The logistic multivariate analysis showed that the age and polyp diameter were the independent factors affecting the success of pregnancies after operation (OR=1.220, 1.484, P<0.05).ConclusionThe hysteroscopic electrosurgical excision for EP can improve pregnancy outcomes, but pregnancy outcomes may be affected by patient's age and polyp diameter.