首页|宫腔镜子宫内膜息肉切除术后口服避孕药预防复发的效果观察

宫腔镜子宫内膜息肉切除术后口服避孕药预防复发的效果观察

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目的 观察宫腔镜子宫内膜息肉切除术后口服避孕药预防复发的效果。方法 选择 60 例子宫内膜息肉患者,根据治疗方法不同将患者分为对照组和观察组,各 30 例。对照组患者采用单纯的宫腔镜子宫内膜息肉切除术治疗,观察组患者在宫腔镜子宫内膜息肉切除术后口服避孕药治疗。比较两组患者术后 6 个月月经恢复情况、复发情况及手术前后的子宫内膜厚度。结果 术后 6 个月,对照组患者复发 7 例,复发率为 23。33%;观察组患者复发 1 例,复发率为 3。33%。观察组患者术后 6 个月复发率明显低于对照组,差异有统计学意义(P<0。05)。术后 6 个月,对照组患者月经恢复 19 例,恢复率为 63。33%;观察组患者月经恢复 27 例,恢复率为 90。00%。观察组患者术后 6 个月,月经恢复率明显高于对照组,差异有统计学意义(P<0。05)。术前,两组患者子宫内膜厚度比较,差异性不大(P>0。05);术后3、6 个月,观察组患者子宫内膜厚度分别为(6。12±0。88)、(4。42±0。56)mm,均小于对照组的(7。63±1。05)、(5。84±1。34)mm,差异有统计学意义(P<0。05)。结论 宫腔镜子宫内膜息肉切除术后口服避孕药治疗患者出现子宫内膜息肉复发的几率非常低,同时也使患者的月经恢复率提升,子宫内膜厚度降低,值得推广应用。
Effect observation of oral contraceptives in preventing recurrence after hysteroscopic endometrial polypectomy
Objective To observe the effect of oral contraceptives in preventing recurrence after hysteroscopic endometrial polypectomy.Methods 60 patients with endometrial polyp were selected.According to different treatment methods,the patients were divided into a control group and an observation group,with 30 cases in each group.The patients in the control group were treated with hysteroscopic endometrial polypectomy,while the patients in the observation group were treated with hysteroscopic endometrial polypectomy and oral contraceptives.The menstrual recovery at 6 months after operation,recurrence and endometrial thickness before and after operation were compared between the two groups.Results In the control group,7 patients recurred at 6 months after operation,and the recurrence rate was 23.33%;in the observation group,1 patient recurred at 6 months after operation,and the recurrence rate was 3.33%.The recurrence rate of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).In the control group,19 patients recovered menstruation at 6 months after operation,the recovery rate was 63.33%;in the observation group,27 patients recovered menstruation at 6 months after operation,the recovery rate was 90.00%;the recovery rate of menstruation in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Before operation,there was no significant difference in endometrial thickness between the two groups(P>0.05).At 3 and 6 months after operation,the endometrial thickness were(6.12±0.88)and(4.42±0.56)mm in the observation group,which were lower than(7.63±1.05)and(5.84±1.34)mm in the control group,and the difference was statistically significant(P<0.05).Conclusion Oral contraceptives after hysteroscopic endometrial polypectomy can effectively reduce the recurrence rate of endometrial polyp,improve the recovery rate of menstruation,and reduce the thickness of endometrium.It is worthy of promotion.

HysteroscopyEndometrial polypectomyOral contraceptivesRecurrence prevention

李晓华

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528247 佛山市南海区第七人民医院

宫腔镜 子宫内膜息肉切除术 口服避孕药 预防复发

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(22)