宫腔镜下电切术对子宫内膜息肉患者卵巢功能和总抗氧化能力水平的影响

doi:10.3969/j.issn.1001-8131.2025.04.011

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Abstract Objective This study examines the impact of transcervical resection of polyps(TCRP)on ovarian function and total antioxidant capacity indicators in patients diagnosed with endometrial polyps. Methods This study enrolled 150 endometrial polyp patients randomly allocating them equally into control and TCRP groups(n=75 each)through blinded selection.The control group underwent hysteroscopic curettage while the TCRP group received transcervical resection,with comparative analysis of surgical parameters,PBAC scores,menstrual characteristics(cycle duration,recovery patterns),endometrial thickness,hemoglobin levels,hormonal profiles(FSH,LH,PR,ER expression),along with complication and recurrence rates. Results The TCRP group demonstrated superior surgical outcomes with significantly shorter operation time and reduced intraoperative blood loss(P>0.05),though requ-iring marginally longer postoperative hospitalization days(P<0.05).Both groups showed marked clinical improvement postoperatively(P<0.05),with the TCRP group exhibiting significantly better PBAC scores,shorter menstruation duration, thinner endometrium,and lower Hb levels versus controls(P<0.05).While the TCRP group had prolonged menstrual recovery time,heavier initial flow and extended bleeding duration(P<0.05),it showed significantly lower postoperative hormone receptor expression and gonadotropin level(P<0.05).Notably,the TCRP group achieved substantially reduced complication and recurrence rates(P<0.05). Conclusion TCRP demonstrates significant therapeutic efficacy for endometrial polyps,effectively reducing menstrual blood loss,endometrial thickness,and hormone levels while promoting menstrual recovery,despite requiring slightly longer hospitalization,with the added advantage of minimizing polyp recurrence rates.

Key words： TCRP Endometrial polyp Ovarian function Total antioxidant capacity

Received: 17 April 2025

PACS:

R711.74

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	Articles by authors
	Yu Tiantian
	Feng Linna
	Zhang Zigui

Cite this article:

Yu Tiantian,Feng Linna,Zhang Zigui. Effect of Hysteroscopic Electroresection on Ovarian Function and Total Antioxidant Capacity Levels in Patients with Endometrial Polyps[J]. journal1, 2025, 45(4): 35-39.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.04.011 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I4/35

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