首页|左炔诺孕酮宫内节育系统放置对宫腔镜下息肉切除术患者子宫内膜厚度、性激素及炎症因子水平的影响

左炔诺孕酮宫内节育系统放置对宫腔镜下息肉切除术患者子宫内膜厚度、性激素及炎症因子水平的影响

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目的:探讨左炔诺孕酮宫内节育系统放置对宫腔镜下息肉切除术患者性激素、子宫内膜厚度以及炎症因子水平的影响。方法:选取 2020 年 1 月—2022 年 12 月于酒泉市人民医院接受宫腔镜下息肉切除术治疗的 160 例患者作为研究对象,按信封随机法分为试验组(n=80)与对照组(n=80)。对照组施行黄体酮胶囊治疗,试验组施行左炔诺孕酮宫内节育系统放置治疗,比较两组月经量、子宫内膜厚度、性激素指标和炎症因子等。结果:两组术后月经量减少,子宫内膜厚度降低,且试验组术后 4 个月、8 个月月经量少于对照组,子宫内膜厚度低于对照组,差异有统计学意义(P<0。05)。术后 8 个月,两组性激素指标和炎症因子水平降低,且试验组孕酮、促黄体生成素、雌二醇、γ干扰素(IFN-γ)、白细胞介素(IL)-1 与基质金属酶-3(MMP-3)水平低于对照组,差异有统计学意义(P<0。05)。结论:左炔诺孕酮宫内节育系统放置用于宫腔镜下息肉切除术后的疗效显著,有助于减少患者经期出血量,降低炎症因子水平,改善性激素指标,并促进子宫内膜厚度降低。
Study on Effect of Levonorgestrel Intrauterine System Placement on Endometrial Thickness,Sex Hormones and Inflammatory Factors Levels in Patients Undergoing Hysteroscopic Polypectomy
Objective:To explore the effect of Levonorgestrel intrauterine system placement on endometrial thickness,sex hormones and inflammatory factors levels in patients undergoing hysteroscopic polypectomy.Method:A total of 160 patients who underwent hysteroscopic polypectomy in Jiuquan City People's Hospital from January 2020 to December 2022 were selected as the study subjects,they were divided into the experimental group(n=80)and the control group(n=80)according to the envelope random method.The control group was treated with Progesterone Capsules,while the experimental group was treated with Levonorgestrel intrauterine system placement.The menstrual volume,endometrial thickness,sex hormone indexes and inflammatory factors were compared between two groups.Result:The menstrual volume and endometrial thickness of two groups after operation decreased,and the menstrual volume of the experimental group at 4 months and 8 months after operation were less than those of the control group,and the endometrial thickness were lower than those of the control group,the differences were statistically significant(P<0.05).At 8 months after operation,the levels of sex hormone indexes and inflammatory factors in two groups decreased,and the levels of progesterone,luteinizing hormone,estradiol,interferon-γ(IFN-γ),interleukin(IL)-1 and matrix metalloproteinase-3(MMP-3)in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Levonorgestrel intrauterine system placement has a significant effect after hysteroscopic polypectomy,which helps to reduce the amount of menstrual bleeding,reduce the level of inflammatory factors,improve the sex hormone index,and promote the reduction of endometrial thickness.

Endometrial thicknessLevonorgestrel intrauterine systemSex hormonesHysteroscopic polypectomyInflammatory factors

向阳、赵一和、李蕾、王成莲

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酒泉市人民医院 甘肃 酒泉 735000

子宫内膜厚度 左炔诺孕酮宫内节育系统 性激素 宫腔镜下息肉切除术 炎症因子

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(11)
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