宫腔镜电切分别联合天然孕激素、炔雌醇环丙孕酮片治疗子宫内膜息肉的效果观察.docVIP

宫腔镜电切分别联合天然孕激素、炔雌醇环丙孕酮片治疗子宫内膜息肉的效果观察 　　[摘要]目的 考察?m腔镜电切分别联合天然孕激素、炔雌醇环丙孕酮片治疗子宫内膜息肉的效果。方法 选取2015年6月～2016年6月在我院治疗的105例子宫内膜息肉患者，根据治疗方法的不同，采用随机数字表法分为A组、B组和C组，所有患者均采用宫腔镜电切治疗，A组（35例）患者术后给予炔雌醇环丙孕酮片，B组（35例）患者术后给予天然黄体酮胶囊，C组（35例）患者术后不给予任何药物治疗，比较三组患者临床治疗有效率及复发率，并比较治疗前后子宫内膜厚度及血红蛋白水平。结果 A组和B组患者的临床治疗总有效率均显著高于C组，差异有统计学意义（P0.05）；治疗后6个月和1年比较，A组和B组患者的子宫内膜厚度和复发率均显著低于C组，但血红蛋白水平显著高于C组，差异均有统计学意义（P0.05）。结论 宫腔镜电切联合天然孕激素或炔雌醇环丙孕酮片治疗子宫内膜息肉的临床效果较好，安全性较高，复发率较低。 　　[关键词]子宫内膜息肉；宫腔镜；天然孕激素；炔雌醇环丙孕酮 　　[中图分类号] R713.4 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0106-03 　　Observation of efficacy of hysteroscopic electrotomy plus natural progesterone and hysteroscopy plus Ethinylestradiol and Cyproterone Acetate Tablets in the treatment of endometrial polyps 　　YANG Cai-hong LI Yong-kui▲ LI Cui-ping LIN Fang 　　Department of Gynecology and Obstetrics，People′s Hospital of Sihui City，Guangdong Province，Sihui 526200，China 　　[Abstract]Objective To investigate the effect of hysteroscopic electrotomy plus natural progesterone and hysteroscopic electrotomy plus Ethinylestradiol and Cyproterone Acetate Tablets in the treatment of endometrial polyps.Methods Altogether 105 patients with endometrial polyps who were treated in our hospital from June 2015 to June 2016 were selected and randomly divided into group A，group B and group C according to the different treatment methods.All the patients were treated with hysteroscopic electrotomy，among which group A （35 cases） were given Ethinylestradiol and Cyproterone Acetate Tablets post-operatively；group B （35 cases） were given natural progesterone capsules post-operatively；group C （35 cases） received no medication treatment post-operatively.The clinical effective rate，recurrence rate，pre-operative and post-operative endometrial thickness and hemoglobin level were compared among three groups.Results The total effective rate of group A and group B was significantly higher than that of group C，with statistically significant difference （P0.05）；in contrast with post-operative 6-