宫腔镜联合天然孕激素治疗对子宫内膜息肉患者复发率、子宫内膜厚度以及血红蛋白的影响  

The Effect of Hysteroscopy Combined with Natural Progesterone Treatment on the Recurrence Rate,Endometrial Thickness,and Hemoglobin of Patients with Endometrial Polyps

作　　者：丘兆雪 卢舒婷 黄秀真 QIU Zhaoxue;LU Shuting;HUANG Xiuzhen(Department of Gynecology,Dehua County Hospital,Quanzhou 362500,China)

机构地区：[1]德化县医院妇科,泉州362500

出　　处：《中国医药指南》2024年第18期22-24,共3页Guide of China Medicine

摘　　要：目的在子宫内膜息肉临床治疗环节中实施宫腔镜、天然孕激素联合干预方案,研究分析该联合干预方案在预防患者术后息肉复发、降低子宫内膜厚度及调整血红蛋白指标等方面的影响。方法本研究选取2021年8月至2022年8月于我院就诊的70例子宫内膜息肉患者为主体,采用随机数表法分成两组,各35例。一组为对照组,选择宫腔镜电切术;另一组为观察组,在对照组的基础上联合地屈孕酮片治疗。对两组的子宫内膜息肉复发率进行比较分析;并比较两组治疗前后的子宫内膜厚度和血红蛋白含量;对两组患者术后并发症进行观察和比较。结果观察组的子宫内膜息肉复发率为8.57%,与对照组的28.57%相比,两组有统计学意义(P<0.05)。两组子宫内膜厚度、血红蛋白指标在治疗前比较差异无统计学意义(P>0.05);治疗后,两组的情况都比治疗前有了明显的改善(P<0.05),治疗后观察组子宫内膜厚度[(5.14±0.52)mm vs.(7.14±1.35)mm]、血红蛋白[(111.84±23.62)g/L vs.(93.54±19.85)g/L]优于对照组,组间差异有统计学意义(P<0.05)。观察组的并发症发生率为14.29%,低于对照组(37.14%)(P<0.05)。结论在子宫内膜息肉患者中采用宫腔镜结合天然孕激素治疗有积极的作用,可以有效地改善患者的临床症状,防止疾病复发,从而有利于改善患者的整体生活质量与预后。Objective To implement a combined intervention plan of hysteroscopy and natural progesterone in the clinical treatment of endometrial polyps,and to study and analyze the effects of this combined intervention plan on preventing postoperative polyp recurrence,reducing endometrial thickness,and adjusting hemoglobin indicators in patients.Methods In this study,70 cases of patients with endometrial polyps treated in our hospital from August 2021 to August 2022 were selected as the main body,and were divided into two groups by random number table method,35 cases in each group.The control group underwent hysteroscopic resection surgery.Observation group was treated with dydrogesterone tablets on the basis of control group.The recurrence rate of endometrial polyps was compared between the two groups.The endometrial thickness and hemoglobin content before and after treatment were compared between the two groups.The postoperative complications of the two groups were observed and compared.Results The recurrence rate of endometrial polyps in the observation group was 8.57%,which was statistically significant compared with 28.57%in the control group(P<0.05).There were no significant differences in endometrial thickness and hemoglobin indexes between the two groups before treatment(P>0.05).After treatment,the conditions of both groups were significantly improved compared with those before treatment(P<0.05).After treatment,endometrial thickness[(5.14±0.52)mm vs.(7.14±1.35)mm]and hemoglobin[(111.84±23.62)g/L vs.(93.54±19.85)g/L]in observation group were better than those in control group,with statistical significance(P<0.05).The complication rate of the observation group was 14.29%,which was lower than that of the control group(37.14%)(P<0.05).Conclusions Hysteroscopy combined with natural progesterone therapy has a positive effect in patients with endometrial polyps,which can effectively improve the clinical symptoms of patients and prevent disease recurrence,so as to improve the overall quality of life and prognosis of pat

关 键 词：子宫内膜息肉 宫腔镜 天然孕激素 复发 子宫内膜厚度 血红蛋白 

分 类 号：R711.74[医药卫生—妇产科学]