宫腔镜联合口服避孕药对子宫内膜息肉的治疗价值  

The Value of Hysteroscopy Combined with Oral Contraceptives on Endometrial Polyps

作　　者：章靖一[1] ZHANG Jingyi(Jiangyin People’s Hospital,Jiangyin 214400,China)

机构地区：[1]江阴市人民医院,江苏江阴214400

出　　处：《中外医学研究》2021年第28期166-168,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究宫腔镜联合口服避孕药治疗子宫内膜息肉的效果。方法:选取2018年1月-2020年1月笔者所在医院收治的60例子宫内膜息肉患者作为研究对象,采用随机数字表法将其分为观察组与对照组,每组30例。对照组采用宫腔镜手术治疗,观察组采用宫腔镜联合口服避孕药治疗。比较两组治疗效果。结果:观察组治疗总有效率为96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。治疗前,两组子宫内膜厚度比较,差异无统计学意义(P>0.05);治疗3、6个月后,观察组子宫内膜厚度均低于对照组,差异有统计学意义(P<0.05)。观察组复发率为3.45%,低于对照组的26.09%,差异有统计学意义(P<0.05)。结论:宫腔镜联合口服避孕药治疗子宫内膜息肉,可改善子宫内膜厚度,降低复发率,效果显著,值得推广应用。Objective:To study the effect of hysteroscopy combined with oral contraceptives on endometrial polyps.Method:From January 2018 to January 2020,60 patients with endometrial polyps admitted in our hospital were selected as the research objects.They were divided into the observation group and the control group by random number table method,with 30 cases in each group.The control group was treated with hysteroscopy surgery,and the observation group was treated with hysteroscopy combined with oral contraceptives.The therapeutic effects of the two groups were compared.Result:The total effective rate of the observation group was 96.67%,which was higher than 76.67% of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in endometrial thickness between the two groups(P>0.05).After 3 and 6 months of treatment,endometrial thickness in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The recurrence rate of the observation group was 3.45%,which was lower than 26.09% of the control group,the difference was statistically significant(P<0.05).Conclusion:Hysteroscopy combined with oral contraceptives has a significant effect in the treatment of endometrial polyps can improve the endometrial thickness and reduce the recurrence rate.The effect is significant.It is worthy of popularization and application.

关 键 词：子宫内膜息肉 宫腔镜 避孕药 屈螺酮炔雌醇片 效果 

分 类 号：R711.74[医药卫生—妇产科学]