首页|宫腔镜下冷刀切除术联合地屈孕酮治疗子宫内膜息肉的效果及对妊娠的影响

宫腔镜下冷刀切除术联合地屈孕酮治疗子宫内膜息肉的效果及对妊娠的影响

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目的 探讨宫腔镜下冷刀切除术联合地屈孕酮治疗子宫内膜息肉的效果.方法 98例子宫内膜息肉患者随机分为两组,对照组采用宫腔镜下电切术联合地屈孕酮治疗,观察组采用宫腔镜下冷刀切除术联合地屈孕酮治疗,比较两组的治疗效果.结果 观察组的手术时间、住院时间均短于对照组,术中出血量、不良反应发生率以及术后PBAC评分、血清VEGF水平均低于对照组,术后12个月的妊娠率高于对照组(P<0.05).结论 宫腔镜下冷刀切除术联合地屈孕酮治疗子宫内膜息肉患者的效果显著.
Effect of Hysteroscopic Cold Knife Resection Combined with Dydrogesterone in the Treatment of Endometrial Polyps and Its Impact on Pregnancy
Objective To explore the effect of hysteroscopic cold knife resection combined with dydrogesterone in the treatment of endometrial polyps.Methods 98 patients with endometrial polyps were randomly divided into two groups.The control group was treated with hysteroscopic electrotomy combined with dydrogesterone,and the observation group was treated with hysteroscopic cold knife resection combined with dydrogesterone.The therapeutic effects of the two groups were compared.Results The operation time and hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss amount,the incidence of adverse reactions,and the postoperative PBAC score and serum VEGF level were lower than those of the control group,and the pregnancy rate at 12 months after surgery was higher than that of the control group(P<0.05).Conclusions Hysteroscopic cold knife resection combined with dydrogesterone in the treatment of patients with endometrial polyps has significant effect.

HysteroscopyCold knife resectionElectrotomyDydrogesteroneEndometrial polyps

乔菲、位路其、张锦聪

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漯河市中医院妇产科,河南漯河 462000

宫腔镜 冷刀切除术 电切术 地屈孕酮 子宫内膜息肉

河南省医学科技攻关计划联合共建项目

LHGJ20200889

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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