首页|地屈孕酮联合宫腔镜手术治疗子宫内膜息肉的效果分析

地屈孕酮联合宫腔镜手术治疗子宫内膜息肉的效果分析

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目的 探讨对子宫内膜息肉患者采用地屈孕酮+宫腔镜手术疗法完成治疗后获得的临床效果.方法 回顾性选取济南高新东区医院于2022年4月—2023年10月收治的100例子宫内膜息肉患者的临床资料,根据不同用药方法分为参照组和研究组.参照组(50例)采用宫腔镜手术治疗,研究组(50例)在参照组基础上,联合使用地屈孕酮片.对比两组的疗效、并发症、血红蛋白水平以及子宫内膜厚度.结果 研究组治疗总有效率(98.00%)高于参照组(84.00%),差异有统计学意义(x2=5.982,P<0.05).研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05).治疗前,两组子宫内膜厚度以及血红蛋白水平对比,差异无统计学意义(P均>0.05);治疗后,研究组上述指标均优于参照组,差异有统计学意义(P均<0.05).结论 对于子宫内膜息肉患者联合应用地屈孕酮药物以及宫腔镜手术疗法,在提升患者的疗效以及安全性方面效果明显,并且可以有效提升患者血红蛋白水平,降低其子宫内膜厚度.
Analysis of the Effect of Dydrogesterone Combined with Hysteroscopic Surgery in the Treatment of Endometrial Polyps
Objective To explore the clinical effects of endometrial polyp patients after completing the treatment with dydrogesterone+hysteroscopic surgery.Methods The clinical data of 100 patients with endometrial polyps admitted to Jinan High-tech East District Hospital from April 2022 to October 2023 were retrospectively selected and were di-vided into reference group and study group according to different medication methods.The reference group(50 cases)was treated with hysteroscopic surgery,and the study group(50 cases)was combined with dydrogesterone tablets on the basis of the reference group.The efficacy,complications,hemoglobin level and endometrial thickness of the two groups were compared.Results The total effective rate of treatment in the study group(98.00%)was higher than that in the reference group(84.00%),and the difference was statistically significant(x2=5.982,P<0.05).The total inci-dence of complications of the study group was lower than that of the reference group,and the difference was statisti-cally significant(P<0.05).Before treatment,there were no significant differences in endometrial thickness and hemo-globin level between the two groups(both P>0.05).After treatment,the above indexes in the study group were better than those in the reference group,and the differences were statistically significant(both P<0.05).Conclusion For pa-tients with endometrial polyps,the combination of dydrogesterone drugs and hysteroscopic surgery is effective in im-proving the efficacy and safety of patients,and can effectively improve the hemoglobin level of patients and reduce their endometrial thickness.

Endometrial polypDydrogesteroneHysteroscopic surgeryEfficacyComplicationsHemoglobinEndometrial thickness

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济南高新东区医院(山东健康集团济南医院)妇产科,山东济南 250104

子宫内膜息肉 地屈孕酮 宫腔镜手术 疗效 并发症 血红蛋白 子宫内膜厚度

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(12)