首页|探究左炔诺孕酮宫内节育系统与达英-35在宫腔镜子宫内膜息肉切除术患者术后的应用效果

探究左炔诺孕酮宫内节育系统与达英-35在宫腔镜子宫内膜息肉切除术患者术后的应用效果

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目的:对比左炔诺孕酮宫内节育系统(曼月乐)与炔雌醇环丙孕酮片(达英-35)在宫腔镜子宫内膜息肉切除术患者术后的应用效果.方法:选取2022年5月~2023年6月在福建省漳浦县医院行子宫内膜息肉切除术治疗的患者60例,根据患者术后选用的治疗方法不同进行分组,将术后接受达英-35口服治疗的30例患者设为对照组,将术后接受宫内放置曼月乐治疗的30例患者设为观察组,对比两组患者的术前、术后6个月的子宫内膜厚度、血红蛋白水平、月经恢复情况,评估两组术后1年复发率和不良反应发生情况.结果:术后6个月,观察组子宫内膜厚度低于对照组,血红蛋白水平高于对照组(P<0.05);观察组经期时间短于对照组,PBAC评分低于对照组(P<0.05);术后1年内随访期间,观察组未见有复发病例,复发率为0,对照组复发率为20.00%,观察组明显低于对照组(P<0.05);观察组不良反应发生率为3.33%,低于对照组的26.67%(P<0.05).结论:宫腔镜子宫内膜息肉切除术后为患者应用曼月乐效果优于口服达英-35,可降低子宫内膜厚度,促使经期经量恢复正常,且术后复发率和不良反应发生率均更低,临床应用价值更高.
To Explore Mirena Ring and Diane-35 in Hysteroscopic Endometrial Polyp Resection the Effect of Postoperative Application
Objective:To compare the efficacy of mirenolecyclin and Diane-35 in patients with hysteroscopic endometrial polyp resection. Methods:60 patients who underwent endometrial polyp resection in Zhangpu County Hospital of Fujian Province from May 2022 to June 2023 were selected and divided into groups according to different postoperative treatment methods. 30 patients who received oral treatment with Danin-35 after surgery were set as the control group,and 30 patients who received intrauterine treatment with mihalenicin after surgery were set as the observation group. The endometrial thickness,hemoglobin level,menstrual recovery before and 6 months after surgery were compared between the two groups,and the recurrence rate and adverse reactions were evaluated 1 year after surgery between the two groups. Results:6 months after operation,the observation group endometrial thickness was lower than control group,hemoglobin level was higher than control group (P<0.05);The observation group period was shorter than control group,and the PBAC score was lower than control group (P<0.05). During the follow-up one year after surgery,there was no recurrence in the observation group,the recurrence rate was 0,and the recurrence rate was 20.00% was lower than control group (P<0.05). The incidence of adverse reactions was 3.33%,which was lower than 26.67% in control group (P<0.05). Conclusion:After hysteroscopic resection of endometrial polyps,the effect of mirenolacion is better than that of oral Danyin-35,which can reduce the endometrial thickness and promote the normal menstrual volume,and the postoperative recurrence rate and the incidence of adverse reactions are lower,and the clinical application value is higher.

mirena ringDain-35hysteroscopyendometrial polypsendometrial thicknessrecurrence rate

何惠娜

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福建省漳浦县医院妇产科,福建漳州 363200

曼月乐 达英-35 宫腔镜 子宫内膜息肉 子宫内膜厚度 复发率

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)