首页|宫腔镜手术联合孕激素对多发性子宫内膜息肉术后复发的影响

宫腔镜手术联合孕激素对多发性子宫内膜息肉术后复发的影响

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目的 探讨宫腔镜手术联合孕激素对多发性子宫内膜息肉术后复发的影响.方法 选择多发性子宫内膜息肉患者56例,按照随机方式分为对照组及研究组.对照组28例采用宫腔镜手术治疗,研究组28例采用宫腔镜手术联合孕激素治疗.比较两组疗效.结果 术后6个月,研究组子宫内膜厚度较对照组薄,血红蛋白水平较对照组高(P<0.05).术后3个月、6个月,研究组月经量均少于对照组,经期均短于对照组(P<0.05).术后3个月,两组息肉复发率比较,差异无统计学意义(P>0.05);研究组术后6个月、1年的息肉复发率分别为0、3.57%,均低于对照组的14.29%、25.00%(P<0.05).结论 多发性子宫内膜息肉患者采用宫腔镜手术联合孕激素治疗,可降低子宫内膜厚度,改善月经情况,降低术后息肉复发风险.
Effect of hysteroscopic surgery combined with progesterone on postoperative recurrence of multiple endometrial polyps
Objective To investigate the effect of hysteroscopic surgery combined with progesterone on postoperative recurrence of multiple endometrial polyps.Methods 56 patients with multiple endometrial polyps were randomly divided into a control group and a study group.The control group(28 cases)received hysteroscopic surgery,and the study group(28 cases)received hysteroscopic surgery combined with progesterone.The efficacy of the two groups was compared.Results 6 months after surgery,the endometrial thickness of the study group was thinner and the hemoglobin level was higher than those of the control group(P<0.05).3 and 6 months after surgery,the menstrual volumes of the study group were lower and the periods were shorter than those of the control group(P<0.05).3 months after surgery,there was no significant difference in the recurrence rate of polyps between the two groups(P>0.05);6 months and 1 year after surgery,the polyp recurrence rates of the study group were 0 and 3.57%,respectively,lower than 14.29%and 25.00%of the control group(P<0.05).Conclusion In patients with multiple endometrial polyps,hysteroscopic surgery combined with progesterone can reduce endometrial thickness,improve menses and reduce the risk of polyp recurrence.

Multiple endometrial polypsHysteroscopic surgeryProgesterone

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南通市海门区中医院 妇产科,江苏 海门 226100

多发性子宫内膜息肉 宫腔镜手术 孕激素

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(14)