文章摘要
刘艳,任娟,桑学梅,等.宫腔镜下子宫内膜息肉切除术联合地屈孕酮治疗子宫内膜息肉60 例[J].安徽医药,2022,26(5):942-945.
宫腔镜下子宫内膜息肉切除术联合地屈孕酮治疗子宫内膜息肉60 例
Hysteroscopic transcervical resection of polyps combined with dydrogesterone in the treat?ment of 60 cases of endometrial polyps
  
DOI:10.3969/j.issn.1009-6469.2022.05.022
中文关键词: 息肉  子宫内膜  子宫内膜息肉  地屈孕酮  宫腔镜下子宫内膜息肉切除术
英文关键词: Polyps  Endometrium  Endometrial polyps  Dydrogesterone  Hysteroscopic transcervical resection of polyps
基金项目:
作者单位
刘艳 皖北煤电集团总医院妇科安徽宿州234000 
任娟 皖北煤电集团总医院妇科安徽宿州234000 
桑学梅 皖北煤电集团总医院妇科安徽宿州234000 
吴霞 皖北煤电集团总医院妇科安徽宿州234000 
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中文摘要:
      目的分析宫腔镜下子宫内膜息肉切除术(TCRP)联合地屈孕酮(达芙通)治疗子宫内膜息肉的疗效及对预后的影响。方法选取2015年1月至2018年11月皖北煤电集团总医院接收的子宫内膜息肉病人120例,据随机数表法分为两组,每组60
英文摘要:
      Objective To analyze the efficacy of hysteroscopic transcervical resection of polyps (TCRP) combined with dydrogester?one (daphthone) in the treatment of endometrial polyps and its influence on prognosis.Methods A total of 120 patients with endome?trial polyps received from the General Hospital of Wanbei Coal and Electricity Group from January 2015 to November 2018 were select?ed and divided into two groups according to the random number table method, with 60 cases in each group. The control group was treat?ed with TCRP alone, and the observation group was treated with TCRP + dydrogesterone. The menstrual flow, hemoglobin, endometrial thickness, abnormal uterine bleeding and recurrence of endometrial polyps at the 6th, 12th, and 18th months after TCRP in the two groups were observed, and the treatment effect was evaluated.Results At the 12th and 18th months after TCRP, the menstrual flow [(42.63±6.81) vs. (64.06±5.75), (31.32±8.24) vs. (45.31±5.17)], endometrial thickness [(5.51±0.39) vs. (6.37±0.24)mm, (7.18±0.54) vs. (8.24±0.47)mm], hemoglobin [(118.46±7.23) vs. (104.75±6.35)g/L, (134.59±7.29) vs. (119.26±7.83)g/L], and abnormal uterine bleeding[(18.33% vs. 36.67%), (11.67% vs. 30.00%)] between the control group and the observation group were statistically significant (P<0.05). There was no significant difference in the recurrence rate of endometrial polyps between the observation group and the controlgroup at the 6th month after operation (P>0.05), but the recurrence rate of endometrial polyps [(6.67% vs. 20.00%), (10.00% vs.28.33%)] at the 12th and 18th months was statistically significant compared with the control group (P<0.05).Conclusion TCRP com?bined with dydrogesterone can effectively control the postoperative menstrual flow and endometrial thickness of patients, promote the stability of the menstrual cycle, reduce abnormal uterine bleeding, improve clinical efficacy, and reduce the recurrence rate of endome?trial polyps after surgery, which is worthy of clinical promotion.
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