[1]傅海霞,强韩英.宫腔镜子宫内膜息肉切除术后应用黄体酮栓预防复发的效果[J].医学信息,2020,33(02):113-115.[doi:10.3969/j.issn.1006-1959.2020.02.032]
 FU Hai-xia,QIANG Han-ying.Effect of Progesterone Suppository on Prevention of Recurrence After Hysteroscopic Endometrial Polypectomy[J].Medical Information,2020,33(02):113-115.[doi:10.3969/j.issn.1006-1959.2020.02.032]
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宫腔镜子宫内膜息肉切除术后应用黄体酮栓预防复发的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年02期
页码:
113-115
栏目:
临床研究
出版日期:
2020-01-15

文章信息/Info

Title:
Effect of Progesterone Suppository on Prevention of Recurrence After Hysteroscopic Endometrial Polypectomy
文章编号:
1006-1959(2020)02-0113-03
作者:
傅海霞1强韩英2
(溧阳市妇幼保健院妇产科1,超声科2,江苏 常州 213300)
Author(s):
FU Hai-xia1QIANG Han-ying2
(Department of Obstetrics and Gynecology1,Department of Ultrasound2,Maternal and Child Health Hospital of Liyang City,Changzhou 213300,Jiangsu,China)
关键词:
子宫内膜息肉宫腔镜黄体酮栓
Keywords:
Endometrial polypsHysteroscopyProgesterone suppository
分类号:
R713.4
DOI:
10.3969/j.issn.1006-1959.2020.02.032
文献标志码:
A
摘要:
目的 探讨子宫内膜息肉行宫腔镜治疗术后应用黄体酮栓预防复发的临床效果。方法 选取2015年1月~2017年12月在本院行宫腔镜引导下子宫内膜息肉切除手术治疗,且术后病理诊断符合子宫内膜息肉的患者220例为研究对象,根据术后治疗方法的不同分为研究组(106例)与对照组(114例),研究组术后应用黄体酮栓治疗,对照组未用药物治疗,比较两组术后3、6、12个月子宫内膜厚度,月经改变情况及复发情况。结果 研究组术后6、12个月子宫内膜厚度及复发率均优于对照组,差异有统计学差异(P<0.05);研究组术后3、6、12个月的月经量改善优于对照组,差异有统计学意义(P<0.05),术后6个月经期情况比较,差异有统计学意义(P<0.05);术后3、12个月经期比较,差异无统计学意义(P>0.05),9例(8.74%)出现乳房胀痛、头晕,偶有患者点滴出血等不适,均可以耐受。结论 宫腔镜术后应用黄体酮栓治疗子宫内膜息肉有助于降低复发率,改善月经情况,疗效可靠。
Abstract:
Objective To investigate the clinical effect of progesterone suppositories on the prevention of recurrence after hysteroscopic treatment of endometrial polyps. Methods From January 2015 to December 2017, 220 patients with endometrial polypectomy under hysteroscopy guided surgery were selected in our hospital, and 220 patients with pathological diagnosis consistent with endometrial polyps were selected as research subjects. According to different postoperative treatment methods, they were divided into study group (106 cases) and control group (114 cases). The study group was treated with progesterone suppositories after operation, while the control group was not treated with drugs. Endometrial thickness, menstrual changes and recurrence were compared at 3, 6, and 12 months after surgery. Results The endometrial thickness and recurrence rate of the study group were better than that of the control group at 6 and 12 months postoperatively, the difference was statistically significant (P<0.05); the menstrual amount of the study group was better than that of the control group at 3, 6 and 12 months postoperatively, and the difference was statistically significant (P<0.05); the menstrual period of the study group at 6 months postoperatively was better than that of the control group, and the difference was statistically significant (P<0.05); there was no statistical difference between the menstrual periods at 3 and 12 months postoperatively (P>0.05). 9 cases (8.74%) suffered from breast pain and dizziness, some patients occasionally suffered from bleeding and other discomfort, which could be tolerated.Conclusion The use of progesterone suppositories in the treatment of endometrial polyps after hysteroscopy can help reduce the recurrence rate, improve menstrual conditions, and has reliable results.

参考文献/References:

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更新日期/Last Update: 2020-01-15