To compare the effect of hysteroscopic cold knife resection and electrocision in the treatment of endometrial polyps.

Eighty-two patients with endometrial polyps admitted to Nanyang Second General Hospital from April 2021 to April 2022 were selected, and they were divided into observation group and control group by random number table method, with 41 cases in each group. The control group was treated by hysteroscopic electrocision, while the observation group was treated by hysteroscopic cold knife resection. The perioperative conditions, endometrial thickness, pictorial blood loss assessment chart (PBAC) score, uterine artery blood flow status, levels of uterine fluid cytokines, including interferon-γ (IFN-γ), insulin-like growth factor-1 (IGF-1), interleukin-1β (IL-1β), and incidence of complications were compared between the two groups.

Compared with the control group, the intraoperative blood loss of the observation group was less, and the operation time and hospital stay of the observation group were shorter (P<0.05). One month after operation, the endometrial thickness and PBAC score of the observation group were lower than those of the control group (P<0.05). One month after operation, the resistance index and pulsatility index of the observation group were lower than those of the control group (P<0.05). One month after operation, the levels of IFN-γ, IGF-1 and IL-1β in the observation group were lower than those in the control group (P<0.05). The complication rate of the observation group was 2.44% (1/41), which was lower than the 19.51% (8/41) of the control group (P<0.05).

Compared with hysteroscopic electrocision, hysteroscopic cold knife resection for endometrial polyps can reduce the surgical trauma, reduce the incidence of complications, and speed up the postoperative recovery of patients.

Endometrium; Polyp; Hysteroscopic cold knife resection; Hysteroscopic electrocision