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目的:研究左炔诺孕酮宫内释放系统预防子宫内膜息肉宫腔镜下切除术后复发的临床效果。方法:选取2010至2012年间在嘉兴市妇幼保健院行宫腔镜下子宫内膜息肉切除术患者300例进行随机分组,研究组在宫腔镜术后子宫内即时放置左炔诺孕酮宫内释放系统,而对照组不予放置,所有患者追踪随访2年,了解患者子宫内膜息肉复发情况。结果:所有患者均手术成功,随访2年,对照组16例子宫内膜息肉复发,复发率为10.88%,而研究组无一例复发,差异有统计学意义(P<0.01)。结论:左炔诺孕酮宫内释放系统能预防子宫内膜息肉术后的复发及形成。
Objective: To study the clinical efficacy of levonorgestrel-releasing intrauterine system in preventing the recurrence of endometrial polyps after hysteroscopic resection. Methods: From 2010 to 2012, 300 cases of hysteroscopic endometrial polypectomy in Jiaxing MCH hospital were randomly divided into two groups: the intrauterine release of levonorgestrel in the uterus after hysteroscopy System, while the control group will not be placed, all patients were followed up for 2 years to understand the patient’s endometrial polyps recurrence. Results: All the patients were operated successfully. The follow-up was 2 years. In the control group, 16 cases of endometrial polyps recurred. The recurrence rate was 10.88%. There was no recurrence in the study group, with statistical significance (P <0.01). Conclusion: Levonorgestrel intrauterine release system can prevent the recurrence and formation of endometrial polyps.