首页|醋酸甲羟孕酮片联合宫腔镜手术治疗子宫内膜息肉的效果

醋酸甲羟孕酮片联合宫腔镜手术治疗子宫内膜息肉的效果

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目的 探讨醋酸甲羟孕酮片联合宫腔镜手术治疗子宫内膜息肉的临床效果。方法 选取本院500例子宫内膜息肉患者为研究对象,随机分为两组,各250例。对照组采用宫腔镜子宫内膜息肉切除术治疗,试验组在对照组基础上加以醋酸甲羟孕酮片治疗,比较两组月经量、子宫内膜厚度、性激素指标及复发率。结果 术后6个月,试验组月经量少于对照组,子宫内膜厚度小于对照组,差异有统计学意义(P<0。05);试验组术后3个月、术后6个月孕酮水平高于对照组,差异有统计学意义(P<0。05);术后6个月,试验组复发率为1。20%,低于对照组的19。60%,差异有统计学意义(P<0。05)。结论 醋酸甲羟孕酮片联合宫腔镜手术治疗子宫内膜息肉,可减少患者月经量,降低子宫内膜厚度,改善患者孕酮水平,且复发率低,安全可靠。
The effect of medroxyprogesterone acetate tablets combined with hysteroscopic surgery in the treatment of endometrial polyps
Objective To explore the clinical effect of medroxyprogesterone acetate tablets combined with hysteroscopic surgery in the treatment of endometrial polyps.Methods 500 patients with endometrial polyps in our hospital were selected as the research subjects and randomly divided into two groups,with 250 cases in each group.The control group was treated with hysteroscopic endometrial polypectomy,while the experimental group was treated with medroxyprogesterone acetate tablets on the basis of the control group.The menstrual volume,endometrial thickness,sex hormone indicators,and recurrence rate of the two groups were compared.Results At 6 months after surgery,the menstrual volume in the experimental group was less than that in the control group,and the endometrial thickness was smaller than that in the control group,with a statistically significant difference(P<0.05);The progesterone levels in the experimental group were higher than those in the control group at 3 and 6 months after surgery,with a statistically significant difference(P<0.05);At 6 months after surgery,the recurrence rate in the experimental group was 1.20%,lower than the 19.60%in the control group,with a statistically significant difference(P<0.05).Conclusion The combination of medroxyprogesterone acetate tablets and hysteroscopic surgery for the treatment of endometrial polyps can reduce menstrual flow,reduce endometrial thickness,improve progesterone levels,and have a low recurrence rate,which is safe and reliable.

Medroxyprogesterone acetate tabletsHysteroscopic endometrial polypectomyEndometrial polypsTreatment effect

马芳兰

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容县妇幼保健院 妇科,广西 玉林 537003

醋酸甲羟孕酮片 宫腔镜子宫内膜息肉切除术 子宫内膜息肉 治疗效果

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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