宫腔镜电切术联合药物治疗子宫内膜息肉的临床分析.docVIP

精品论文 参考文献 宫腔镜电切术联合药物治疗子宫内膜息肉的临床分析 李立兴 　　（四川省简阳市人民医院 四川 简阳 641300） 　　【摘 要】目的：分析宫腔镜电切术联合药物治疗子宫内膜息肉的临床疗效。方法：将我院收治的78例子宫内膜息肉患者随机分为观察组39例和对照组39例。观察组患者行宫腔镜电切术联合药物（米非司酮片）治疗，对照组患者行单纯的宫腔镜电切术治疗。评价2组患者的近期疗效，采用月经失血图法评估患者治疗前后的月经量，并随访观察复发率。结果：观察组患者近期临床治疗的总有效率为94.87%，对照组为92.31%，2组比较，差异无统计学意义（P＞0.05）。治疗后6个月及12个月，观察组患者的平均月经量均少于对照组（P均＜0.05）。观察组患者术后3个月、6个月及12个月的复发率依次为0、2.56%、5.13%，对照组依次为0、10.26%、17.95%，观察组患者术后6个月及12个月的复发率均低于对照组（P均＜0.05）。结论：宫腔镜电切术联合药物治疗子宫内膜息肉能有效提高患者的远期疗效，减少月经量，并显著降低复发率。 　　【关键词】子宫内膜息肉；宫腔镜电切术；米非司酮片；复发 　　【中图分类号】R711.74 【文献标识码】B 【文章编号】1003-5028（2015）7-0149-02 　　Analysis of hysteroscopic surgery of combination of drugs in the treatment of endometrial polyps 　　【Abstract】Objective: to analysis of hysteroscopic surgery in combination with the clinical curative effect of drug treatment of endometrial polyps. Methods: our hospitalrsquo;s 78 example of intrauterine membrane polyp patients were divided into the observation group (39 cases) and the control group (39 cases).The observation group of patients were treated by hysteroscopic surgery combined with drugs (mifepristone tablets), the control group patients were treated by simple hysteroscopic. 2 groups of patients with recent curative effect wer evaluated, menstrual blood loss diagram method was used to evaluate patients before and after treatment, the amount of menstrual and recurrence rate were followed. Results: observation group of patients with recent clinical treatment the total effective rate was 94.87%, control group was 92.31%, and the comparison of two groups, there was no statistically significant difference (P gt; 0.05). 6 months and 12 months after treatment, the observation group of patients with an average menstrual quantity was less than the control group (P lt; 0.05). Observation group of patients after 3 months, 6 months and 12 months of the recurrence rate was 0, 2.56%, 5.13%, the control group was 0,10.26%, 17.95%, followed by observation group of patients with postoperative recurrence 6 months