Hysteroscopic surgery combined with medroxyprogesterone acetate treatment of 60 cases of endometrial polyps.docVIP

 PAGE \* MERGEFORMAT 7 Hysteroscopic surgery combined with medroxyprogesterone acetate treatment of 60 cases of endometrial polyps [Abstract] Objective To observe the hysteroscopic resection of endometrial polyps (TCRP operation) combined with medroxyprogesterone acetate for endometrial polyps (EP) of clinical efficacy. Methods 60 patients with EP TCRP routine postoperative divided two groups, simple TCRP group of 30 patients (control group), patients without any treatment, TCRP + medroxyprogesterone acetate group of 30 patients (study group), after 15 days from the next menstrual 15 day oral medroxyprogesterone progesterone tablets, 12 mg, for 7 days as a course of treatment, periodic treatment for 3 months. observe the EP recurrence. Results In the control group 40% recurrence rate, recurrence rate 6.67% study group, the difference was statistically significant (P lt;0. 05). TCRP after conclusion of oral medroxyprogesterone acetate inhibit the growth of the endometrium, inhibiting local endometrial hyperplasia and the proliferation of the residual base, thereby improving the symptoms and reduce the recurrence rate of EP. [Keywords:] endometrial polyps, TCRP surgery, medroxyprogesterone endometrial polyps (endom etria l polyp EP mainly as menorrhagia, intermenstrual bleeding or infertility, a handful of malignant transformation can occur, often gynecological examination no abnormality was found, and even ultrasonography have a higher rate of misdiagnosis. hysteroscopy in the diagnosis and treatment of intrauterine lesions as the gold standard has been clinically proven resection under direct vision (TCRP is the only way to see the polyp pedicle, from the The root resection method for diagnosis and treatment of endometrial polyps opened up a new way. but with the whole States to carry out endoscopic techniques, there are still some patients relapse after the simple TCRP. The author of our hospital from January 2009 to October 2009 60 cases of EP