宫腔镜下子宫内膜息肉切除术后口服雌孕激素与曼月乐环疗效对比分析

目的探讨宫腔镜子宫内膜息肉切除术后口服雌激素和孕酮和左炔诺孕酮宫内缓释系统效能。方法在我们在宫腔镜下子宫内膜息肉切除手术医院妇产科在EP治疗60例患者，将患者分为对照组根据随机数字表，雌孕激素组和曼月乐组患者经过6个月的EP复发情况、异常子宫出血、子宫内膜厚度的改进。结果三组患者的结果与EP复发率，差异有统计学意义（χ^2=14．312，P〈0．05）；雌激素和孕激素组患者复发性R吃的是高于根据组，差异有统计学意义（P〈0．05），曼月乐组患者复发率高于对照组，差异有统计学意义（0．05）。三组患者子宫异常出血改善情况，差异无统计学意义（χ^2=0．663，0．05）；三组患者治疗前和治疗后，1个月的子宫内膜厚度比较，差异无统计学意义（0．05）和雌激素加孕激素后三个月组和曼月乐组患者子宫内膜厚度的待遇要低于对照组，差异有统计学意义（P〈0.05）。在同时，子宫内膜厚度治疗后6个月，曼月乐组患者低于雌激素和孕激素组和对照组，差异有统计学意义显著（P〈0.05）。结论宫腔镜子宫内膜息肉切除术治疗，曼月乐治疗实施后可以明显降低术后复发和提高C临床症状，值得临床推广使用。

Objective To explore the hysteroscopic endometrial polyps resection and postoperative oral estrogen and progesterone and levonorgestrel releasing intrauterine system efficacy. Methods in the Department of gynecology and obstetrics Jn our hospital of hysteroscopic endometrial polyp resection surgery in the treatment of 60 cases of EP patients, patients were divided into the control group according to random number table, female progesterone group and Mirena group, patients were observed after 6 months of EP recurrence, abnormal uterine bleeding improvement and endometrlal thickness of. Results of three groups of patients with EP recur rence rate, the difference is statistically significant （χ^2= 14. 312, P〈0.05）; the estrogen and progesterone hormone group patients with recurrent rate was higher than that of According to the group, the difference was statistically significant （P〈0. 05）, Mirena group patients with recurrence rate was higher than the control group, the difference is statistical significance （P〈0.05）. Three groups of patients with uterine abnormal bleeding to improve the situation, the differences are not statistically significant （χ^2= 0. 663, P〈 0. 05） ; and three groups of patients before treatment and after treatment, 1 month of endometrial thickness comparison, the difference is not statistically significant （P〉0.05） and estrogen plus progesterone group and Mirena group patients in three months after the treatment of endometrial thickness to be lower than that of the control group, the difference is statistically significant （P〈0. 05）. At the same time, Mirena group patients In 6 months after the treatment of endometrial thickness is lower than that of estrogen and progesterone group and control group, the difference was statistically significant （P〈0.05）. Conclusion hysteroscopic endometrial polyps resection therapy after the implementation of Mirena treatment can significantly reduce the postoperative recurrence and improve the clinical symptoms, it is worth for clinical use.