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
Effect of hysteroscopic surgery combined with progesterone on postoperative recurrence of multiple endometrial polyps
黄楠1
作者信息
- 1. 南通市海门区中医院 妇产科,江苏 海门 226100
- 折叠
摘要
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.
Abstract
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.
关键词
多发性子宫内膜息肉/宫腔镜手术/孕激素Key words
Multiple endometrial polyps/Hysteroscopic surgery/Progesterone引用本文复制引用
出版年
2024
NETL
NSTL
万方数据