左炔诺孕酮宫内缓释系统预防宫腔镜子宫内膜息肉切除术后复发的疗效

Effect of levonorgestrel releasing intrauterine system on recurrence after transcervical resection of endometrial polyp

目的::观察宫腔镜子宫内膜息肉切除术(TCRP)后使用左炔诺孕酮宫内缓释系统(LNG-IUS)预防复发的疗效。方法:回顾性分析本中心85例子宫内膜息肉患者的临床资料,其中常规组45例,联合组40例。常规组给予常规宫腔镜电切术切除治疗;联合组在行宫腔镜电切术后病理证实为子宫内膜息肉后放置LNG-IUS。记录随诊过程中两组患者复发病例及阴道流血情况。结果:联合组术后3、6、9个月月经量明显少于常规组,两组比较,差异有统计学意义(P<0.05)。治疗后6、9个月联合组复发例数少于常规组,两组比较,差异有统计学意义(P<0.05)。结论:对子宫内膜息肉的患者电切术切除后使用LNG-IUS可明显降低复发率。

Objective：To observe the effect of levonorgestrel releasing intrauterine system （ LNG-IUS ） on endometrial polyp recurrence after transcervical resection of endometrial polyp, （ TCRP ） . Methods： Clinical data of 85 patients with endometrial polyps were retrospectively analyzed, including 45 cases of the routine group and 40 cases of the combination group. The routine group was given routine hysteroscopic resection, and the combination group was placed LNG-IUS after given hysteroscopic resection with the confirmation of endometrial polyp. Relapse cases and vaginal bleeding situations of both groups in process of follow-up visits were recorded. Results：Vaginal bleeding of combination group was obviously less than routine group after the 3, 6 and 9 months of the operation. And there was statistical difference between these two groups （ P〈0.05） . After the treatment of 6 and 9 months, the cases of recurrence in combination group were less than routine group. And there was statistical difference between these two groups （ P〈0. 05 ） . Conclusion： Using LNG-IUS on patients with endometrial polyp after electrocision could obviously reduce recurrence rate.