宫腔镜治疗子宫内膜息肉及术后复发的预防

The Treatment of Endometrial Polyp with Hysteroscope and the Prevention of Postoperative Recurrence

目的:对宫腔镜治疗子宫内膜息肉的效果进行探讨,同时对孕激素用于预防术后息肉复发的效果进行分析。方法:收集2014年1月~2015年12月在某院采用宫腔镜进行检查及治疗的63例子宫内膜息肉患者作为研究对象,依据术后不同处理方法将患者分为观察组和对照组,对照组术后不给予任何激素类药物,观察组宫腔镜术后口服地屈孕酮片,治疗3~6个月。比较两组随访期间子宫异常出血改善情况及内膜息肉复发情况。结果:63例患者均成功切除息肉,手术顺利,手术时间为(24.7±10.3)min,术中出血量(5.4±1.8)ml,未出现术中术后并发症。术后随访0.5~2.5年,两组子宫异常出血改善情况差异无统计学意义(P>0.05);对照组术后子宫内膜息肉复发率23.8%,观察组为2.4%,差异有统计学意义(P<0.05)。结论:宫腔镜治疗子宫内膜息肉疗效确切,对患者术后进行地屈孕酮治疗在降低子宫内膜息肉的复发率方面起到一定作用。

Objective：To discuss the effect of the treatment of endometrial polyp with hysteroscope and analyze the effect of prevention of postoperative polyp recurrence with progestogen.Methods：Take 63 cases of endometrial polyp patients from January 2014 to December 2015 in a hospital as research objects and divide the patients into observation group and control group by different treatments after operation.In control group,the patients were not given any hormone drugs,and in observation group,the patients had taken dydrogesterone tablets after hysteroscope surgery for 3~6 months.The improvement of abnormal uterine bleeding and recurrence of endometrial polyps were compared between the two groups in the follow-up period.Results：All the 63 hysteroscope operations were smooth and polyps were successfully removed.The operation time was（24.7±10.3）min,the amount of bleeding during operation was（5.4±1.8）ml and there were no complication.After 0.5~2.5years follow up,there was no statistical significance of improvement of abnormal uterine bleeding（P〉0.05）.The recurrence of endometrial polyp in control group was 23.8% and that of observation group was 2.4%.The difference had statistically significant（P〈0.05）.Conclusion：There is exact effect of the treatment of endometrial polyp with hysteroscope.Taking dydrogesterone tablets can help to reduce the recurrence endometrial polyp after operation.