摘要
目的:探究宫腔镜电切术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的临床治疗效果。方法:将在笔者所在医院接受治疗的72例子宫内膜息肉患者按照入院顺序分为联合组和对照组,每组36例。所有患者均采用宫腔镜电切术进行治疗,联合组在此基础上配合左炔诺孕酮宫内缓释系统进行治疗。比较两组患者治疗前及治疗后12个月子宫内膜厚度、并发症发生率和复发率。结果:治疗后12个月,联合组子宫内膜厚度明显低于对照组,差异有统计学意义(P<0.05)。联合组并发症发生率、复发率分别为13.89%、2.78%,均显著低于对照组的38.89%、16.67%,差异有统计学意义(P<0.05)。结论:宫腔镜电切术联合左炔诺孕酮宫内缓释系统对子宫内膜息肉患者的治疗效果确切,可有效改善子宫内膜厚度,并减少并发症的发生,降低疾病复发的风险。
Objective: To investigate the clinical effect of hysteroscopic electrotomy combined with levonorgestrel intrauterine sustained release system in the treatment of endometrial polyp. Method: A total of 72 cases of patients with endometrial polyp treated in our hospital were divided into the combined group and the control group according to the order of admission, with 36 cases in each group. All patients were treated with hysteroscopic electrotomy, and the combined group treated with the levonorgestrel intrauterine sustained release system on this basis. The thickness of endometrium before and 12 months after treatment, complication rate and recurrence rate were compared between the two groups. Result: At 12 months after treatment, the thickness of endometrium of the combined group was significantly lower than that of the control group, the difference was statistically significant (P<0.05). The complication rate and recurrence rate in the combined group were 13.89% and 2.78%, respectively, which were significantly lower than 38.89% and 16.67% in the control group, the differences were statistically significant (P<0.05). Conclusion: Hysteroscopic electrotomy combined with levonorgestrel intrauterine sustained release system is effective in treating endometrial polyps, which can effectively improve endometrium thickness, and reduce complications and reduce the risk of disease recurrence.
作者
林瑞莲
彭明健
黄文蓉
LIN Ruilian;PENG Mingjian;HUANG Wenrong(Longyan Second Hospital, Longyan 364000, China)
出处
《中外医学研究》
2019年第28期162-163,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
宫腔镜电切术
左炔诺孕酮宫内缓释系统
子宫内膜息肉
治疗效果
Hysteroscopic electrotomy
Levonorgestrel intrauterine sustained release system
Endometrial polyps
Therapeutic effect
