宫腔注药联合孕激素治疗子宫内膜息肉的临床研究  

The clinical research of intrauterine injection technique and progestin for endometrial polyps

作　　者：杨晓梅 任伟茹 

机构地区：[1]山东省枣庄市立三院,277100

出　　处：《中国实用医药》2011年第5期30-31,共2页China Practical Medicine

摘　　要：目的探讨宫腔注药联合孕激素治疗子宫内膜息肉的临床效果。方法选取子宫内膜息肉患者113例,术后随机分为2组：对照组54例,术后给予安宫黄体酮治疗3个月;治疗组59例,在月经干净3 d用地塞米松＋洁霉素＋糜蛋白酶＋0.9%氯化钠注射液20 m l宫腔注药,共3 d,术后给予共3个月。2组随访时间为3~6个月,观察子宫内膜息肉复发情况。结果治疗组59例中治愈43例,复发7例。对照组54例中治愈48例,复发18例。两组结果治愈率差异无统计学意义（P〉0.05）,复发率有统计学意义（P〈0.05）。结论子宫内膜息肉的患者进行宫腔注射地塞米松、洁霉素、糜蛋白酶联合孕激素治疗,此法安全可靠、痛苦小、疗效好。Objective To explore the clinical effect of intrauterine injection technique and progestion for endometrial polyps.Methods 113 cases of endometrial polyps were randomly divied into the control group and treatment group 54 cases were given to Medroxyprogesterone Acetate for 3 months in control group.59 cases were given to Dexamethasone ＋ Lincomycin ＋ Chymotrypsin ＋NS normal saline（20 ml） for 3 days,and treat 3 months.2 groups followed up for 3～6 months to observe recurrence of endometrial polyps.Results The 41 cases were cured,recurrence in 9 cases in treatment group..48 patients were cured s,32 cases of recurrence In control group.Two groups was no significant difference in cure rate（P〉0.05）,relapse rates were significantly different（P〈0.05）,Conclusion Endometrial polyps in patients with intrauterine injection of Dexamethasone,Lincomycin,Chymotrypsin and progestin combined therapy,this method safe reliable,pain small,the curative effect is good.

关 键 词：安宫黄体酮 子宫内膜息肉 宫腔注药 

分 类 号：R737.33[医药卫生—肿瘤]