Comparison Of Clinical Efficacy Between Myosure And Hysteroscopic Electrotomy In The Treatment Of Benign Uterine Lesions

ObjectAnalyze and compare the effect of Myosure resection system and hysteroscopic resection system in the treatment of benign intrauterine lesions,as well as the pathological tissue composition and specimen satisfaction of the two treatment methods,and use the symptom score scale to objectively evaluate the two surgical methods for intrauterine The improvement of benign lesion symptoms,the pregnancy rate after surgery,pregnancy complications and pregnancy outcomes were compared for patients with fertility needs.Methodsclinical data of 197 cases of benign uterine lesions treated by Myosure excision system from February 2016 to March 2019 and 215 cases of hysteroscopic electrotomy were retrospectively analyzed.objective rating scales assesse the effectiveness of treatment.Patients diagnosed with infertility caused by uterine factors were treated with Myosure excision system and hysteroscopic electrotomy respectively to evaluate the reproductive prognosis of the patients.Statistical analysis of the experimental data collected was performed using SPSS 24.0 software.Results1.No statistical difference between groupS o The type 0 submucosal fibroids were taken as an example.The Myosure group(39 cases)and the electric cut group(24 cases),the age,the number of uterine scars,and the palace.There was no statistical difference in the number of cavity operations and pregnancy(P=0.13,0.71,0.89,and 0.69,respectively,P>0.05).2.There was a statistically significant difference in the amount of uterine fluid and the number of insertions between the two groups in the Myosure group and the electric cut group.For example,type 0 submucosal fibroids,meishushu group(39 cases),resection group(24 cases)operation time(2.94±1.25vs5.41 ±2.28 min,P=0),uterine fluid(2210.26± 759.43 vs 4700.00±1512.98 ml,P=0),number of insertions(1.31±0.54 vs 8.21±2.49 times,P=0).3.There were significant differences in the uterine fibroids symptoms and health-related quality of life questionnaire(JFS-QOL)and menstrual symptom scores before and after operation in the treatment of benign intrauterine benign diseases.Taking type 0 submucosal fibroids as an example,the Myosure group(35 cases),the above scores before and after surgery were compared(22.29±5.83vsl2.23±2.75,P=0;76.29±11.51vs52.71±6.31,P=0;42.14±5.02 vs 35.17±3.56,P=0)The electric cut group(22cases),the above scores before and 3 months after surgery(22.61±4.92 vs 13.68±2.80,P=0 72.61± 10.24 vs 55.95±8.58,P=0;42.61 ±4.59 vs 32.66±4.59,P=0).4.The data of the resection group included in the study were 109 cases.There were 4 cases of over-hydration syndrome,1 case of air embolism,3cases of cervical laceration,and 1 case of uterine perforation.The data of the Myosure group included in the study were 197 cases,and no serious complications occurred in the Myosure group.100%surgical success rate in both groups of endometrial polyps;the success rate of treatment of type 0 and type ? uterine submucosal fibroids was 100%in both groups;the success rate of treatment of type ? uterine submucosal myoma 92%,87%in the electric cutting group;100%in the treatment of uterine mediastinum in the group,95%in the electric cut group,Myosure treatment success rate is 95%.The success rate of the cut group was 93%;the success rate of the treatment of intrauterine adhesions was 85%,and the success rate of the electric cut group was 80%.Myosure group occurred two cases of ? degree intrauterine adhesions.9 cases of intrauterine adhesions occurred in the electrotomy group,5cases were ? degree,and 4 cases were ?degree.Three cases of pelvic infection occurred in the Myosure group;the resection group occurred 8 cases of pelvic infection.5.The unsatisfactory rate of the pathological specimens sent by the electric cutting group was 18.1%(13/72),and the unsatisfactory rate of the pathological specimens sent by Meowshu was 0(0/142).Comparing the volume of intraoperative and postoperative specimens in the Myosure group,the volume of the two specimens could not be considered statistically significant(11.67±9.34 cm3 vs 11.61 ±9.38 cm3,P=0.082>0.05).The volume of the specimens was compared between the intraoperative and postoperative specimens.The volume of the two specimens was statistically different(15.02± 14.78 cm3 vs 13.92± 13.73 cm3,P=0<0.05).6.There was a statistically significant difference in pregnancy rate between the Myosure group and the electric cut group(78%vs 53%,JP=0.02<0.05).It was not considered that there was a statistical difference between the two groups(8.60±2.28 months vs8.95±2.25 months,P=0.54>0.05).The abnormal rate of placenta was 2.86%in the Myosure group and 58.33%in the electric cut group.Conclusions1.Myosure hysteroscopic tissue resection system can significantly reduce the operation time of surgical instruments in the uterine cavity compared with hysteroscopic resection system in the treatment of benign uterine cavity diseases.,and significantly reduce the number of insertions and the amount of uterine fluid.2.Myosure excision system can improve clinical symptoms and menstrual conditions such as abnormal vaginal bleeding in benign patients with uterine cavity.Before and after surgery,Myosure excision system and hysteroscopic resection system to improve the clinical symptoms of menstruation and fibroids difference.3.The safety factor of the Myosure hysteroscopic tissue resection system is high,no serious complications occurred during and after the operation,and the incidence of postoperative pelvic infection and secondary uterine adhesions was significantly less than that of the hysteroscopic resection system.4.Myosure excision system can completely preserve the resected tissue,avoiding the burning of pathological tissues and improving the satisfaction of pathological results.5.Myosure excision system can improve the postoperative pregnancy rate,reduce spontaneous abortion and placental abnormalities in patients with benign lesions of the uterine cavity,thus improving the pregnancy outcome of patients.