Volume 21 Issue 6
Jun.  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 985-988
CHEN Guo, YING Jie, TIAN Lu, ZHU Yuting, CHEN Shunxia, YAO Shun, ZHOU Shuguang. Clinical effect evaluation of the integrated bigatti shaver for the treatment of multiple endometrial polyps[J]. Chinese Journal of General Practice, 2023, 21(6): 985-988. doi: 10.16766/j.cnki.issn.1674-4152.003031
Citation: CHEN Guo, YING Jie, TIAN Lu, ZHU Yuting, CHEN Shunxia, YAO Shun, ZHOU Shuguang. Clinical effect evaluation of the integrated bigatti shaver for the treatment of multiple endometrial polyps[J]. Chinese Journal of General Practice, 2023, 21(6): 985-988. doi: 10.16766/j.cnki.issn.1674-4152.003031
shu

Clinical effect evaluation of the integrated bigatti shaver for the treatment of multiple endometrial polyps

doi: 10.16766/j.cnki.issn.1674-4152.003031

  • Department of Gynecology, Maternal and Child Health Hospital, Hefei, Anhui 230001, China

Funds:

 KJ2021A0352

  • Received Date: 2022-11-15
    Available Online: 2023-08-26
    Abstract
  •   Objective  To compare the clinical effect of the integrated bigatti shaver (IBS) intrauterine shaving system and the hysteroscopic electrosurgery for the treatment of multiple endometrial polyps.  Methods  A total 108 patients with multiple endometrial polyps in Anhui Maternal and Child Health Hospital from January 2020 to June 2021 were retrospectively analyzed. The 48 patients with multiple endometrial polyps removed by IBS intrauterine shaving system were selected as the study group (IBS group), and 60 patients undergone hysteroscopic electrosurgery were set as the control group (electrotomy group). The clinical effect evaluation was analyzed by comparing general clinical information, intraoperative conditions, preoperative and postoperative biochemical indicators, safety, health and economic benefits, and clinical efficacy of follow-up after treatment.  Results  (1) Intraoperative conditions: the frequency of endoscopic insertion into the uterine cavity in the IBS group was significantly less than that in the electrotomy group, the operation time was shorter, and the amount of perfusate used was less (all P < 0.05). (2) There was no statistically significant difference in blood biochemical indicators before and after surgery (all P>0.05). (3) Comparison of security: the incidence of surgical complications in the IBS group was 2.08% (1/48), lower than that in the electrotomy group (16.67%, 10/60), the difference was statistically significant (P < 0.05), and no water poisoning and uterine perforation occurred in both groups. (4) Health and economic benefits: the hospitalization time in the IBS group was shorter than that in the electrotomy group (P < 0.05). (5) Comparison of clinical efficacy: the vaginal bleeding time of the IBS group was shorter than that of the electrotomy group, and the endometrial thickness during ovulation was higher than that of the electrotomy group, with statistical significance (all P < 0.05).  Conclusion  The application of IBS intrauterine shaving system in the treatment of multiple endometrial polyps has high safety and efficacy, can maximize the protection of the endometrium, and is worthy of wider clinical promotion.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    余平芝, 李菲菲. 子宫内膜息肉行宫腔镜联合天然孕激素治疗的效果观察[J]. 中华全科医学, 2022, 20(2): 267-269. doi: 10.16766/j.cnki.issn.1674-4152.002329

    YU P Z, LI F F. Clinical effect of endometrial polyps treated by hysteroscopic surgery combined with natural progesterone[J]. Chinese Journal of General Practice, 2022, 20(2): 267-269. doi: 10.16766/j.cnki.issn.1674-4152.002329
    [2]
    陈雨柔, 张蔚. 子宫内膜息肉的宫腔镜手术及术后管理[J]. 实用妇产科杂志, 2019, 35(11): 803-805. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201911004.htm

    CHEN Y R, ZHANG W. Hysteroscopic surgery for endometrial polyps and postoperative management[J]. Journal of Practical Obstetrics and Gynecology, 2019, 35(11): 803-805. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201911004.htm
    [3]
    LINDHEIM S, LINCENBERG K, WOOD M, et al. The impact of hysteroscopic tissue removal systems on histopathologic analysis for benign and cancerous endometrial pathology: an ex vivo study[J]. J Obstet GynaecolIndia, 2019, 69(2): 182-187.
    [4]
    BIGATTI G, FRANCHETTI S, ROSALES M, et al. Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional biopolar resectoscope: a retrospective comparative study[J]. Gynecol Surg, 2014, 11(1): 9-18. doi: 10.1007/s10397-013-0827-z
    [5]
    中华医学会妇产科学分会. 宫腔粘连临床诊疗中国专家共识[J]. 中华妇产科杂志, 2015, 50(12): 881-887. doi: 10.3760/cma.j.issn.0529-567x.2015.12.001

    Chinese Medical Association Branch of Obstetrics and Gynecology. Chinese expert consensus on clinical treatment of uterine adhesions[J]. Chinese Journal of Obstetrics and Gynecology, 2015, 50(12): 881-887. doi: 10.3760/cma.j.issn.0529-567x.2015.12.001
    [6]
    WAHBA H, HASSAN M, KOTB M, et al. Impact of uterine scar on pain experienced during outpatient hysteroscopy: a prospective blinded comparative study[J]. J Minim Invasive Gynecol, 2017, 24(4): 626-631. doi: 10.1016/j.jmig.2017.01.018
    [7]
    周静, 陈静, 翁同芳, 等. 宫腔镜冷刀技术在宫内疾病治疗中的应用和优势[J]. 中国内镜杂志, 2019, 25(1): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201901021.htm

    ZHOU J, CHEN J, WENG T F, et al. Application and advantage of hysteroscopic cold instruments technique in treatment of intrauterine diseases[J]. China Journal of Endoscopy, 2019, 25(1): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ201901021.htm
    [8]
    YANG B Y, XU Y H, ZHU Q, et al. Treatment efficiency of comprehensive hysteroscopic evaluation and lesion resection combined with progestin therapy in young women with endometrial atypical hyperplasia and endometrial cancer[J]. Gynecol Oncol, 2019, 153(1): 55-62. doi: 10.1016/j.ygyno.2019.01.014
    [9]
    MAO J, GUIAHI M, CHUNOFF S, et al. Seven-year outcomes after hysteroscopic and laparoscopic sterilizations[J]. Obstet Gynecol, 2019, 133(2): 323-331. doi: 10.1097/AOG.0000000000003092
    [10]
    MEULENBROEKS D, HAMERLYNCK T W O, SAGLAM-KARA S, et al. Hysteroscopic tissue removal systems: a randomized in vitro comparison[J]. J Minim Invasive Gynecol, 2017, 24(1): 159-164.
    [11]
    GEORGIOU D, TRANOULIS A, JACKSON T. Hysteroscopic tissue removal system (myosure) for the resection of polyps, submucosal leiomyomas and retained products of conception in an out-patient setting: a single UK institution experience[J]. Eur J Obstet Gynecol Reprod Biol, 2018, 231: 147-151.
    [12]
    TSUCHIYA A, KOMATSU Y, MATSUYAMA R, et al. Intraoperative and postoperative clinical evaluation of the hysteroscopic morcellator system for endometrial polypectomy: a prospective, randomized, single-blind, parallel group comparison study[J]. Gynecol Minim Invasive Ther, 2018, 7(1): 16-21.
    [13]
    施君, 金悦, 叶婧, 等. 新型宫腔镜刨削系统治疗育龄女性子宫内膜息肉和黏膜下肌瘤的临床分析[J]. 实用妇产科杂志, 2019, 35(7): 509-513. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201907015.htm

    SHI J, JIN Y, YE J, et al. Clinical Analysis of A New Hysteroscopic Shaving System for the Treatment of Uterine Endometrial Polyps and Submucousmyoma of Childbearing Age Women[J]. Journal of Practical Obstetrics and Gynecology, 2019, 35(7): 509-513. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ201907015.htm
    [14]
    王梓媛, 王芝, 张咏梅. 宫腔镜刨削系统治疗宫腔良性疾病患者的疗效及对生化指标的影响[J]. 中国妇幼保健, 2020, 35(23): 4610-4612. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202023065.htm

    WANG Z Y, WANG Z, ZHANG Y M. Efficacy of hysteroscopic shaving system in the treatment of patients with benign uterine cavity disease and the effect on biochemical indicators[J]. Maternal and Child Health Care of China, 2020, 35(23): 4610-4612. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202023065.htm
    [15]
    蔡玉, 刁海丹. 宫腔镜刨削系统治疗黏膜下子宫肌瘤的临床效果[J]. 中国当代医药, 2021, 28(18): 90-93. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202118024.htm

    CAI Y, DIAO H D. Clinical effect of submucosal uterine fibroids treated by hysteroscopic shaving system[J]. China Modern Medicine, 2021, 28(18): 90-93. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202118024.htm
    [16]
    刘蔚, 李小娟. 宫腔镜刨削系统在有生育要求患者胚物残留治疗中的应用[J]. 临床医学研究与实践, 2021, 6(31): 150-152. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202131047.htm

    LIU W, LI X J. Application of hysteroscopic shaving system in the treatment of retained products of conceptionin in patients with fertility requirement[J]. Clinical Research and Practice, 2021, 6(31): 150-152. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202131047.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (370) PDF downloads(12) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return