摘要
目的:观察孕激素联合宫腔镜子宫内膜息肉切除术治疗子宫内膜息肉患者的效果。方法:选取82例子宫内膜息肉患者为研究对象,根据随机数字表法分为对照组和观察组各41例。对照组行宫腔镜检查+分段诊刮治疗,观察组在对照组基础上采用子宫内膜息肉切除术联合孕激素治疗,比较两组治疗效果。结果:治疗1个月及3个月后,两组患者月经量均少于治疗前,且观察组少于对照组,差异有统计学意义(P<0.05);观察组月经间隔恢复正常时间短于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为97.56%,高于对照组的82.93%,差异有统计学意义(P<0.05);观察组术后6个月疾病复发率为2.44%(1/41),低于对照组的12.43%(6/41),差异有统计学意义(P<0.05)。结论:孕激素联合宫腔镜子宫内膜息肉切除术治疗子宫内膜息肉患者可提高子宫内膜息肉患者治疗总有效率,降低复发率及减少月经量,效果优于单纯宫腔镜检查联合分段诊刮治疗效果。
Objective: To observe effects of Progesterone combined with hysteroscopic endometrial polypectomy in treatment of patients with endometrial polyps. Methods: 82 patients with endometrial polyps were selected as the research objects, and were divided into control group(n=41) and observation group(n=41) according to the random number table method odd and even numbers. The control group underwent hysteroscopy + fractional curettage treatment, while the observation group was treated with Progesterone combined with hysteroscopic endometrial polypectomy based on those of the control group. Then, the treatment effects of the two groups were compared. Results: 1 month and 3 months after the treatment, the menstrual blood volumes in both groups was less than those before the treatment;that of the observation group was lower than that of the control group;and the differences were statistically significant(P<0.05). The time for menstrual interval to return to normal in the observation group was shorter than that in the control group, and the difference was statistically significant(P<0.05). The total effective rate in the observation group was 97.56%, which was higher than 82.93% in the control group, and the difference was statistically significant(P<0.05). Further, the disease recurrence rate in the observation group 6 months after the treatment was 2.44%(1/41), which was lower than the control group of 12.43%(6/41), and the difference was statistically significant(P<0.05). Conclusions: On the basis of hysteroscopy + fractional curettage treatment, Progesterone combined with hysteroscopic endometrial polypectomy in the treatment of the patients with endometrial polyps can improve the total treatment effective rate and reduce the recurrence rate and menstrual blood volume. Moreover, it is superior to single hysteroscopy + fractional curettage treatment.
作者
桂联华
GUI Lianhua(The Fifth Hospital of Nanchang,Nanchang 330002 Jiangxi,China)
出处
《中国民康医学》
2020年第6期26-28,共3页
Medical Journal of Chinese People’s Health
