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宫腔镜联合天然孕激素治疗在子宫内膜息肉患者中的临床效果

Clinical efficacy of hysteroscopy combined with natural progesterone therapy in patients with endometrial polyps
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摘要 目的探讨宫腔镜联合天然孕激素治疗在子宫内膜息肉患者中的临床效果。方法选取本院60例子宫内膜息肉患者,按照随机数字表法分为研究组和对照组,每组30例。研究组采用宫腔镜下息肉切除术后给予天然孕激素治疗,对照组仅采用宫腔镜下息肉切除术。比较两组治疗前后血红蛋白(Hb)水平、子宫内膜厚度及1年内复发率。结果治疗后,两组Hb水平、子宫内膜厚度均较治疗前有所改善,且研究组优于对照组,差异有统计学意义(P<0.05);术后1年内研究组复发率低于对照组,差异有统计学意义(P<0.05)。结论宫腔镜联合天然孕激素治疗在子宫内膜息肉患者中具有良好的临床效果,能有效提高Hb水平,减少子宫内膜厚度,降低复发率,值得临床推广与应用。 Objective To explore the clinical effect of hysteroscopy combined with natural progesterone therapy in patients with endometrial polyps.Method 60 patients with endometrial polyps in our hospital were selected and randomly divided into a study group and a control group using a random number table method,with 30 cases in each group.The research group received natural progesterone treatment after hysteroscopic polypectomy,while the control group only underwent hysteroscopic polypectomy.Compare the hemoglobin(Hb)levels,endometrial thickness,and 1-year recurrence rate between two groups before and after treatment.Result After treatment,the Hb levels and endometrial thickness of both groups improved compared to before treatment,and the study group was better than the control group,with statistical significance(P<0.05);The recurrence rate in the study group was lower than that in the control group within one year after surgery,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopy combined with natural progesterone therapy has a good clinical effect in patients with endometrial polyps,which can effectively increase Hb levels,reduce endometrial thickness,and lower recurrence rates.It is worthy of clinical promotion and application.
作者 代宏 Dai Hong(Department of Obstetrics and Gynecology,The Second Affiliated Hospital of Nanjing Medical University,Nanjing 210028,China)
出处 《实用妇科内分泌电子杂志》 2024年第3期14-16,共3页 Electronic Journal of Practical Gynecological Endocrinology
关键词 天然孕激素 宫腔镜 子宫内膜息肉 Natural progesterone Hysteroscopy Endometrial polyps
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