Clinical Efficacy Analysis of Different Surgical Modalities in the Treatment of Endometrial Polyps Under Hysteroscopy

Abstract

Objective: To investigate the clinical effects of hysteroscopic electrosurgery and hysteroscopic diagnostic scraping on the treatment of endometrial polyps. Methods: Clinical data from 128 patients with endometrial polyps included in the study were collected and randomly divided into two groups, with 64 cases each in the electrodesiccation group and diagnostic scraping group. The electrodesiccation group underwent hysteroscopic electrodesiccation, while the diagnostic scraping group underwent hysteroscopic diagnostic scraping. Clinical indicators were combined to compare the efficacy of the two groups. Results: (1) Following treatment, the hemoglobin level in the electrodesiccation group was significantly higher than that in the diagnostic curettage group, and the endometrial thickness was significantly lower than that in the diagnostic curettage group (P < 0.001); (2) After treatment, the serum VEGF level in the electrodesiccation group was significantly lower than that in the diagnostic curettage group (P < 0.001); (3) Operative time and operative bleeding in the electrodesiccation group were significantly lower than those in the diagnostic scraping group (P < 0.001); (4) The complication rate was significantly lower in the electrodesiccation group (4, 6.251%) compared to the diagnostic scraping group (12, 18.751%), with a P value less than 0.05 (P = 0.033). Conclusion: Hysteroscopic electrosurgery demonstrates superior efficacy in the treatment of endometrial polyps compared to hysteroscopic curettage.