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子宫内膜息肉行宫腔镜下电切联合药物治疗的效果

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目的 探讨宫腔镜下电切术+米非司酮的临床效果,对子宫内膜息肉患者阴道异常流血持续时间、月经恢复时间、月经量变化以及预防复发情况进行分析,评估该措施的有效性.方法 选取山东省聊城市高唐县人民医院2020年1月-2021年1月收治的子宫内膜息肉患者72例,依照随机数表法分为对照组和研究组各36例.对照组实施宫腔镜下电切术,研究组实施宫腔镜下电切术+米非司酮联合治疗.比较两组患者月经恢复时间、月经量变化、阴道异常流血持续时间以及预防复发情况等,对联合治疗措施的可行性进行分析.结果 研究组治疗后月经量少于对照组,月经恢复、阴道异常流血持续时间均短于对照组,差异均有统计学意义(P<0.05).研究组术后6、12个月疾病复发率均低于对照组,治疗总有效率明显高于对照组,差异均有统计学意义(P<0.05).结论 宫腔镜下电切术+米非司酮治疗效果良好,在子宫内膜息肉疾病治疗中发挥了明显优势,可以帮助患者减少月经量,缩短月经恢复时间、阴道异常流血持续时间,推广及应用价值较高.
Effect of hysteroscopic electroresection combined with drugs treatment on endometrial polyps
Objective To explore the clinical efficacy of hysteroscopic electroresection combined with mifepristone,and analyze the duration of abnormal vaginal bleeding,menstrual recovery time,changes in menstrual volume and prevention of recurrence in patients with endometrial polyps,in order to evaluate the effectiveness of this measure.Methods A total of 72 patients with endometrial polyps admitted to Shandong Province Liaocheng Gaotang County People's Hospital from January 2020 to January 2021 were selected and randomly divided into control group and study group,with 36 cases in each group,using a random number table method.The control group underwent hysteroscopic electroresection,while the study group underwent a combination of hysteroscopic electroresection and mifepristone treatment.The feasibility of combined treatment measures was analyzed by examining the recovery time of menstruation,changes in menstrual flow,duration of abnormal vaginal bleeding and prevention of recurrence in two groups of patients.Results After treatment,the menstrual flow in the study group was less than that in the control group,and the recovery time of menstruation and the duration of abnormal vaginal bleeding were shorter than those in the control group,and the differences were statistically significant(P<0.05).The disease recurrence rates of the study group were lower than those of the control group at 6th and 12th month after surgery,and the total treatment effectiveness rate was significantly higher than that of the control group,and the differences was statistically significant(P<0.05).Conclusion Hysteroscopic electroresection combined with mifepristone had a good therapeutic effect and had played a significant advantage in the treatment of endometrial polyp diseases.It could help patients reduce menstrual flow,shorten menstrual recovery time,and shorten the duration of abnormal vaginal bleeding.Its promotion and application value was high.

Hysteroscopic electrotomyMifepristoneClinical effectEndometrial polypsMenstrual volumeRecrudescence

王严、王欣

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山东省聊城市高唐县人民医院妇一科,山东 聊城 252800

山东省聊城市高唐县人民医院妇产科

宫腔镜电切术 米非司酮 临床效果 子宫内膜息肉 月经量 复发

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(3)
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