摘要
目的探讨屈螺酮炔雌醇片联合宫腔镜电切术治疗子宫内膜息肉(EP)的临床效果及复发预防效果。方法选取2015年3月至2016年4月我院接诊的EP患者96例,随机将其分为两组,各48例。两组均给予宫腔镜电切术治疗,试验组术后口服屈螺酮炔雌醇片治疗,随访6个月后,分析两组患者治疗前、后月经量、PBAC评分、子宫内膜厚度,比较两组复发率。结果治疗后,两组患者的月经量、PBAC评分及子宫内膜厚度均改善,且试验组均优于对照组(P<0.05)。试验组患者的复发率低于对照组(P<0.05)。结论屈螺酮炔雌醇片联合宫腔镜电切术治疗,可改善患者的月经量,降低PBAC评分及子宫内膜厚度,值得临床推广使用。
Objective To investigate the clinical efficacy of drospirenone ethinyl estradiol combined with hysteroscopicelectric resection in the treatment of endometrial polyps （EP） and its preventive on recurrence. Methods A total of 96 EPpatients admitted in our hospital from March 2015 to April 2016 were selected and randomly divided into two groups, with48 patients in each group. Both groups were treated with hysteroscopic electric resection, and the experimental groupreceived postoperative oral drospirenone ethinyl estradiol tablets. Following-up for 6 months, the menstrual flow, PBACscores and endometrial thickness before and after treatment in the two groups were analyzed, the recurrence rates in thetwo groups were compared. Results After treatment, the menstrual flow, PBAC scores and endometrial thickness of the twogroups improved, and those in the experimental group were better than the control group （P〈0.05）. The recurrence rate ofthe experimental group was lower than that of the control group （P〈0.05）. Conclusion The drospirenone ethinyl estradiolcombined with hysteroscopic electric resection in the treatment of EP can improve the menstrual flow, reduce the PBACscore and endometrial thickness, which is worthy of clinical promotion and application.
作者
胡玉林
王帆
HU Yu-lin;WANG Fan(Gynecology Department,the Third Affiliated Hospital of Xi＇an Jiaotong University（Shaanxi Provincial People＇sHospital）,Xi＇an 710068;Gynecology Department,Baoji Maternal and Child Health Care Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2018年第29期54-55,共2页
Clinical Research and Practice
关键词
屈螺酮炔雌醇片
宫腔镜电切术
子宫内膜息肉(EP)
drospirenone ethinyl estradiol tablets
hysteroscopic electric resection
endometrial polyps （EP）
