论文部分内容阅读
目的:观察宫腔镜下息肉摘除术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的疗效,探讨预防子宫内膜息肉复发的治疗方案。方法:选取经宫腔镜检查并经术后病理证实为子宫内膜息肉的患者102例,随机分为3组,研究组①32例,宫腔镜下内膜息肉摘除术后放置左炔诺孕酮宫内缓释系统;研究组②41例,宫腔镜下内膜息肉摘除术后于月经后半周期口服黄体酮10天;对照组29例,宫腔镜下内膜息肉摘除术后无任何处置。比较3组患者6个月后子宫内膜厚度及子宫内膜息肉复发率。结果:与对照组比较,研究组①、研究组②子宫内膜息肉复发率较低(P<0.05),内膜变薄(P<0.05);研究组①与研究组②子宫内膜息肉复发率比较差异无统计学意义(P>0.05),但治疗后内膜厚度比较差异有统计学意义(P<0.05)。结论:宫腔镜下息肉摘除术联合左炔诺孕酮宫内缓释系统能有效预防子宫内膜息肉复发。
Objective: To observe the effect of hysteroscopic polypectomy combined with levonorgestrel intrauterine system for the treatment of endometrial polyps, and to explore the treatment of endometrial polyps recurrence. Methods: A total of 102 patients who underwent hysteroscopy and pathological diagnosis of endometrial polyps were randomly divided into three groups. The study group (n = 32) received levonorgestrel after hysteroscopic endometrial polypectomy Ketone intrauterine sustained release system; study group ② 41 cases, hysteroscopic endometrial polyp removal after oral administration of progesterone in the second half menstrual cycle for 10 days; control group, 29 cases of hysteroscopic endometrial polyp removal without any Disposal. Endometrial thickness and endometrial polyps recurrence rate were compared between the three groups after 6 months. Results: Compared with the control group, the recurrence rate of endometrial polyps in study group ① and study group ② was lower (P <0.05), and the endometrium was thinner (P <0.05). In study group ① and study group ②, the recurrence of endometrial polyps The difference was not statistically significant (P> 0.05), but there was significant difference in intima thickness after treatment (P <0.05). Conclusion: hysteroscopic polypectomy with levonorgestrel intrauterine system can effectively prevent the recurrence of endometrial polyps.