UNASSIGNED:比较宫腔镜激光血管切除术和宫腔镜切除术治疗子宫内膜息肉的安全性和有效性。方法:对数据库中的文献进行综合检索,筛选出符合纳入标准的文献并提取数据。数据结合Stata12.0统计软件。
UNASSIGNED:包括4篇文献,总样本量为334。Meta分析显示激光组术中出血量少于电刀组[-3.043,95%CI(-4.09,-2.00),P<0.001]。激光组住院时间短于电切术组[-1.013,95%CI(-1.37,-0.65),P<0.001]。复发率[0.275,95CI(0.135,0.563),P<0.001]和并发症发生率[0.148,95CI(0.07,0.32),P<0.001]激光组均低于电切术组。宫腔镜联合2μm激光与宫腔镜电切术治疗子宫内膜息肉的手术时间差异无统计学意义[-0.38,95%CI(-1.34,0.58),P=0.441>0.05]。
UNASSIGNED:宫腔镜2μm激光血管切除术治疗子宫内膜息肉具有较好的安全性和临床疗效。与宫腔镜电切术相比,宫腔镜激光子宫内膜息肉切除术治疗可能更安全有效。鉴于潜在的限制,我们需要更大的,精心设计的随机对照试验来验证我们的发现。
UNASSIGNED: To compare the safety and efficiency of hysteroscopic laser vaporesection and hysteroscopic resection in the treatment of endometrial polyps.Methods: The literatures in databases were searched comprehensively, the literatures that met the inclusion criteria were screened out and the data were extracted. The data were combined with Stata12.0 statistical software.
UNASSIGNED: 4 literatures were included with a total sample size of 334. Meta-analysis showed that intraoperative blood loss in laser group was less than that in electrosurgical group [-3.043, 95% CI (-4.09, -2.00), P < 0.001]. Length of stay in the laser group was shorter than that in the electrotomy group [-1.013, 95% CI (-1.37, -0.65), P < 0.001]. The recurrence rate [0.275, 95%CI (0.135,0.563), P < 0.001] and complication rate [0.148, 95%CI (0.07,0.32), P < 0.001] in the laser group were lower than those in the electrotomy group. There was no significant difference in operative time between hysteroscopy combined with 2 μm laser and hysteroscopic electrotomy for endometrial polyps [-0.38, 95% CI (-1.34, 0.58), P = 0.441 > 0.05].
UNASSIGNED: Hysteroscopic 2 μm laser vaporesection for the treatment of endometrial polyps has better safety and clinical efficacy. Compared with hysteroscopic electroresection, hysteroscopic laser vaporesection in the treatment of endometrial polyps may be safer and more effective. Given the potential limitations, we need larger, well-designed randomized controlled trials to verify our findings.