摘要
目的观察宫腔镜电切术结合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的预后效果。方法随机选取2016年8月~2018年8月我院收治的子宫内膜息肉患者60例,采用SPSS21.0将入组患者按先后序列号(1~60)随机分为两组:一组宫腔镜电切术结合左炔诺孕酮宫内缓释系统治疗组(结合治疗组,30例),一组宫腔镜电切术单独治疗组(单独治疗组,30例),统计分析两组患者的PBAC评分、子宫内膜厚度、月经天数、血清血红蛋白、E2、P水平、不良反应发生情况及复发情况。结果结合治疗组患者的PBAC评分、子宫内膜厚度、月经天数均显著低于单独治疗组,差异有统计学意义(P <0.05),血清血红蛋白水平显著高于单独治疗组,差异有统计学意义(P <0.05),复发率3.3%(1/30)显著低于单独治疗组13.3%(4/30),差异有统计学意义(P <0.05)。结论宫腔镜电切术结合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的预后效果较宫腔镜电切术单独治疗好。
Objective To observe the prognostic effect of hysteroscopic electrotomy combined with levonorgestrelreleasing intrauterine system in treatment of endometrial polyps. Methods 60 patients with endometrial polyps who were admitted and treated in our hospital from August 2016 to August 2018 were randomly selected. According to the sequence number(1-60) by SPSS 21.0, they were randomly divided into two groups. 30 patients in the combined treatment group were treated with hysteroscopic electrotomy combined with levonorgestrel-releasing intrauterine system while 30 patients in the single treatment group were treated with hysteroscopic electrotomy. PBAC score, endometrial thickness, menstrual days, serum hemoglobin, E2, P level, adverse reactions and recurrence were statistically analyzed in the two groups. Results PBAC score, endometrial thickness and menstrual days in the combined treatment group were significantly lower than those in the single treatment group, and the difference was statistically significant(P < 0.05). Serum hemoglobin level of the combined treatment group was significantly higher than that of the single treatment group, and the difference was statistically significant(P < 0.05). The recurrence rate of the combined treatment group was 3.3%(1/30), significantly lower than 13.3%(4/30) in the treatment group alone, and the difference was statistically significant(P < 0.05). Conclusion The prognostic effect of hysteroscopic electrotomy combined with levonorgestrel-releasing intrauterine system in treatment of endometrial polyps is better than that of hysteroscopic electrotomy.
作者
姜志林
JIANG Zhilin(Department of Gynecology, Liping People's Hospital, Guizhou Province,Liping 557300, China)
出处
《中国医药科学》
2019年第10期115-118,共4页
China Medicine And Pharmacy
关键词
宫腔镜电切术
左诀诺孕酮宫内缓释系统
子宫内膜息肉
预后效果
Hysteroscopic electrotomy
Levonorgestrel-releasing intrauterine system
Endometrial polyps
Prognosis effect
