子宫内膜息肉宫腔镜电切或诊刮术后联合药物治疗的疗效分析  

Analysis of the curative effect of combined drug therapy after hysteroscopy resection or curettage of endometrial polyps

作　　者：刘婷婷[1] 郑明康[1] LIU Tingting;ZHENG Mingkang(Department of Gynecology,Zhuhai Maternity and Child Health Hospital,Zhuhai519000,China)

机构地区：[1]珠海市妇幼保健院妇科,广东珠海519000

出　　处：《中国现代医生》2021年第10期72-75,共4页China Modern Doctor

摘　　要：目的探讨子宫内膜息肉行宫腔镜电切术或行宫腔镜下诊刮术后进行联合用药或未用药的疗效,为临床有效治疗子宫内膜息肉提供依据。方法回顾性分析2018年7月至2019年6月我院的子宫内膜息肉患者的临床资料。将符合要求的患者分为4组。1组:单纯的宫腔镜下诊刮术;2组:宫腔镜下诊刮术术后地屈孕酮治疗3个月;3组:单纯的宫腔镜下子宫内膜息肉电切术;4组:宫腔镜下子宫内膜息肉电切术术后地屈孕酮治疗3个月。比较各组的月经情况、异常子宫出血改善情况、子宫内膜息肉复发情况、术后有生育要求的术后6个月内妊娠情况及子宫内膜厚度情况。结果各组的月经情况比较:4组月经情况改善率(95.42%)最高;异常子宫出血改善情况比较:4组异常子宫出血改善率(89.31%)最高;子宫内膜息肉的复发率情况比较:4组子宫内膜息肉的复发率9.92%最低;子宫内膜的厚度情况比较:4组子宫内膜厚度最薄;术后有生育要求的术后6个月内妊娠情况的比较:4组术后6个月内妊娠率10.69%最高;各组比较差异均有统计学意义(P<0.05)。结论单纯的宫腔镜下子宫内膜息肉电切术比单纯宫腔镜下诊刮术疗效好,术后地屈孕酮治疗3个月组较无药物治疗组疗效好,治疗方案以宫腔镜下子宫内膜息肉电切术术后地屈孕酮治疗3个月为最佳。Objective To explore the efficacy of combined medication or no medication after hysteroscopic electric resection or hysteroscopic curettage of endometrial polyps,so as to provide a basis for clinically effective treatment of endometrial polyps.Methods The clinical data of endometrial polyps patients in our hospital from July 2018 to June 2019 were retrospectively analyzed.The patients who met the requirements were divided into four groups,including group 1:hysteroscopic curettage;group 2:dydrogesterone treatment for three months after hysteroscopic curettage;group 3:pure hysteroscopic electric resection of endometrial polyps;group 4:dydrogesterone was treated for three months after hysteroscopic resection of the endometrial polyp.The menstrual status,the improvement of abnormal uterine bleeding,the recurrence of endometrial polyps,the pregnancy status within six months after the operation,and the thickness of the endometrium in those with fertility requirements after surgery were compared in the four groups.Results Comparison of menstrual conditions in the four groups showed that the menstrual improvement rate in the group 4(95.42%)was the highest.The comparison of the abnormal uterine bleeding improvement showed that the improvement of abnormal uterine bleeding in group 4(89.31%)was the highest.The recurrence rate of endometrial polyps of group 4(9.92%)was the lowest.The thickness of the endometrium was the thinnest among the four groups.The pregnancy within 6 months after the operation in those who required for fertility.The pregnancy rate within 6 months in group 4(10.69%)was the highest.The difference in each group was statistically significant(P<0.05).Conclusion Pure hysteroscopic resection of endometrial polyps is more effective than hysteroscopic curettage alone.The dydrogesterone treatment group for three months after surgery is better than the drug-free group.In the treatment plan,three months of dydrogesterone treatment after hysteroscopic endometrial polyp resection is the best.

关 键 词：子宫内膜息肉 宫腔镜下子宫内膜息肉电切术 宫腔镜下诊刮术 地屈孕酮 

分 类 号：R711.7[医药卫生—妇产科学]