宫腔镜下子宫内膜息肉电切术后不同处理预防子宫内膜息肉复发的临床效果分析  

Analysis of clinical effects of different treatments on prevention of recurrence of endometrial polyps after hysteroscopic endometrial polyps

作　　者：崔月美 金仙玉[1] Cui Yuemei;Jin Xianyu(Department of Obstetrics and Gynecology,Dalian Central Hospital,Dalian,Liaoning,116033,China)

机构地区：[1]大连市中心医院妇产科,辽宁大连116033

出　　处：《当代医学》2020年第26期33-35,共3页Contemporary Medicine

摘　　要：目的分析宫腔镜下子宫内膜息肉电切术后不同处理预防子宫内膜息肉复发的临床效果。方法选取2018年12月至2019年11月在本院行宫腔镜下子宫内膜息肉电切术的患者58例,根据入院时间分为研究组与对照组,各29例。对照组患者接受电切术后给予黄体酮预防处理,研究组给予曼月乐预防处理。比较不同处理方法患者子宫内膜息肉发生率、子宫内膜厚度、临床疗效及不良反应情况。结果研究组复发率低于对照组(P<0.05)。术前,两组患者子宫内膜厚度比较差异无统计学意义;术后1、4、6个月,研究组子宫内膜厚度薄于对照组(P<0.05)。研究组生理期均恢复正常,临床总有效率(96.55%)高于对照组(72.41%),差异有统计学意义(P<0.05);研究组不良反应发生率(6.90%)低于对照组(31.03%),差异有统计学意义(P<0.05)。结论与黄体酮预防处理相比,曼月乐对预防子宫内膜息肉效果更显著,复发率低,安全性高,值得临床推广应用。Objective To analyze the clinical effect of different treatments on prevention of recurrence of endometrial polyps after hysteroscopy for endometrial polyps.Methods From December 2018 to November 2019,58 patients who underwent hysteroscopic endometrial polypectomy in our hospital were selected and they were divided into the study group and the control group according to the time of admission,with 29 cases in each group.Patients in the control group were given progesterone prophylactic treatment after electrosurgical treatment,and the study group was given prophylactic treatment with mirena.Compared the incidence of endometrial polyps,endometrial thickness,clinical efficacy and adverse reactions in patients with different treatment methods.Results The recurrence rate of the study group was lower than that of the control group(P<0.05).Before operation,there was no significant difference in endometrial thickness between the two groups.At 1,4,and 6 months after operation,the endometrial thickness of the study group was thinner than that of the control group(P<0.05).The physiological period of the study group returned to normal,the clinical total effective rate(96.55%)was higher than that of the control group(72.41%),the difference was statistically significant(P<0.05).The total adverse reaction rate of the study group(6.90%)was lower than that of the control group(31.03%),the difference was statistically significant(P<0.05).Conclusion Compared with the prophylactic treatment of progesterone,Manyule is more effective in preventing endometrial polyps,with a low recurrence rate and high safety,which is worthy of clinical promotion.

关 键 词：宫腔镜 子宫内膜息肉电切术 黄体酮 曼月乐 复发率 临床效果 

分 类 号：R713.4[医药卫生—妇产科学]