首页|曼月乐和口服短效避孕药预防子宫内膜息肉复发的临床疗效对比分析

曼月乐和口服短效避孕药预防子宫内膜息肉复发的临床疗效对比分析

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目的 探究曼月乐与口服短效避孕药(屈螺酮炔雌醇片)在子宫内膜息肉患者术后预防复发中的作用.方法 选取2019年6月—2023年6月南京市江宁中医院收治的106例子宫内膜息肉患者为研究对象,根据随机摸球法分为对照组(n=53)、研究组(n=53).对照组术后口服屈螺酮炔雌醇片,研究组术后宫底部放置曼月乐.对比两组手术前后子宫内膜厚度与血红蛋白水平、息肉复发率.结果 术后3个月、6个月,研究组子宫内膜厚度小于对照组,血红蛋白水平高于对照组,差异有统计学意义(P均<0.001),术后6个月,研究组复发率(1.89%)低于对照组(13.21%),差异有统计学意义(χ2=4.867,P=0.027).结论 子宫内膜息肉患者在术后应用曼月乐辅助治疗,能够降低子宫内膜厚度,提高血红蛋白水平,并降低息肉复发的风险,从而改善患者预后.
Comparison of Clinical Efficacy of Mirena and Short-acting Oral Contra-ceptives in Preventing Recurrent Endometrial Polyps
Objective To explore the effect of Mirena and short-acting oral contraceptive(drospirenone and ethinyl-estradiol tablets)on postoperative prevention of recurrence in patients with endometrial polyps.Methods A total of 106 patients with endometrial polyps admitted to Nanjing Jiangning Hospital of Traditional Chinese Medicine from June 2019 to June 2023 were selected as the research objects and divided into the control group(n=53)and the study group(n=53)according to random touch ball method.The control group took oral drospirenone ethinyl estradiol tablets after the operation,and the study group placed mannuelle at the uterine fundus after the operation.Endometrial thick-ness and hemoglobin level,polyp recurrence rate before and after surgery were compared between the two groups.Re-sults At 3 months and 6 months after operation,the endometrial thickness of the study group was smaller than that of the control group,and the hemoglobin level was higher than that of the control group,the differences were statistically significant(both P<0.001).6 months after operation,the recurrence rate of the study group(1.89%)was lower than that of the control group(13.21%),the difference was statistically significant(χ2=4.867,P=0.027).Conclusion In pa-tients with endometrial polyps,the adjuvant therapy of Mirena after surgery can reduce endometrial thickness,in-crease hemoglobin level,and reduce the risk of polyp recurrence,thus improving the prognosis of patients.

MirenaDrospirenone and ethinylestradiol tabletsEndometrial polypsHemoglobin levelEndometrial thicknessPolyp recurrence rate

姜梅梅

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南京市江宁中医院妇科,江苏南京 211100

曼月乐 屈螺酮炔雌醇片 子宫内膜息肉 血红蛋白水平 子宫内膜厚度 息肉复发率

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(6)
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