宫腔镜下子宫内膜切除术对于子宫内膜息肉患者治疗效果研究

Objective To investigate the therapeutic efficacy of transcervical resection of endometrium(TCRE) in patients with endometrial polyps and menorrhagia and no fertility desire. Methods The study included 80 patients with endometrial polyps treated in our hospital from January 2023 to May 2025. They were randomly divided into two groups using random number table method, with 40 patients in each group. The surgical-related indicators, menstrual improvement, postoperative recovery, polyp recurrence, and complication rates were compared between the two groups. Results There was no significant difference in intraoperative blood loss and postoperative hospital stay between the two groups(P>0.05). Compared with the control group, the observation group had a longer operative time(P<0.05). There was no significant difference in the preoperative PBAC score between the two groups(P>0.05). Compared with the control group, the observation group had significantly lower PBAC scores at 6 months and 12 months postoperatively(P<0.05). Compared with the control group, the observation group had a longer time to the first postoperative menstruation and a lower rate of regular menstrual recovery at 3 months postoperatively(P<0.05). The polyp recurrence rate in the observation group was significantly lower than that in the control group(P<0.05). There was no significant difference in the complication rate between the two groups(P>0.05). Conclusion Hysteroscopic polypectomy combined with transcervical resection of the endometrium can effectively control menstrual blood loss, reduce the recurrence rate of endometrial polyps, and does not increase the risk of serious complications. Hence, it is a safe and effective therapeutic regimen.