宫腔镜治疗子宫内膜息肉及术后复发的预防  

The hysteroscopic treatment of endometrial polyps and prevention of polyps recurrence

作　　者：孟丽[1] 赵肖丽[1] 李芳[1] 任秀丽[1] 赵静[1] 

机构地区：[1]河北省定州市人民医院妇科,河北定州073000

出　　处：《中国内镜杂志》2012年第1期78-80,共3页China Journal of Endoscopy

摘　　要：目的探讨子宫内膜息肉的宫腔镜手术治疗及术后应用孕激素预防复发的效果。方法选择定州市人民医院2005年8月～2009年8月行宫腔镜诊治的子宫内膜息肉86例患者,术后分为激素治疗组和观察组,激素治疗组术后给予安宫黄体酮周期性治疗3个月,观察子宫内膜息肉复发及妊娠情况。结果 86例患者中,宫腔镜检查多发性子宫内膜息肉56例,单发性子宫内膜息肉32例;激素治疗组术后2年,复发率为2.3%,观察组复发率为13.9%,两组比较,差异有显著性(P<0.05)。32例有生育要求的患者中,术后2年23例自然妊娠,妊娠率为71.9%,但激素治疗组妊娠率(70.6%,12/17)和观察组(73.3%,11/15)比较,差异无显著性(P>0.05)。结论子宫内膜息肉患者行宫腔镜诊断及治疗效果明确,术后应用孕激素治疗可能有助于预防子宫内膜息肉的复发。[Objective] To evaluate the clinical effectiveness of hysteroscopy surgery combined with progestin taken for the treatment of endometrial polyps.[Methods] 86 patients with endomet rail polyps who underwent hysteroscopic polypectomy were recruited.According to progestin taken or not,patients were randomly divided into two groups：those treated with progestin for 3 months were in progestin group,others were only under follow up（control group）.All patients were followed up for 2 years.[Results] Among the 86 patients,56 patients were diagnosed of multiple endometrial polyps,and the other 32 patients were diagnosed of single endometrial polyp.After 2 years follow-up,the recurrent rate was 2.3% in progestin group and 13.9% in control group（P 0.05）.Among the 32 patients who had fertility requirement,23 were pregnant naturally with the71.9% of pregnancy rate.The pregnancy rate had no significant difference between the two groups（P 0.05）.[Conclusions] Hysteroscopy is an effective method for the diagnosis and treatment of endometrial polyps.Progestin treatment after endometrial polypectomy can decrease the recurrence rate.

关 键 词：子宫内膜息肉 宫腔镜 复发 孕激素 

分 类 号：R711.74[医药卫生—妇产科学]