子宫内膜电切术后干预对预防月经过多复发的作用

Effect of Postoperative Intervention of Endometrial Electrocision in the Prevention of Menorrhagia Recurrence

目的探讨子宫内膜电切术后干预对预防围绝经期月经过多复发的作用。方法选取2015年6月至2016年12月期间于我院行子宫内膜电切术的60例患者,患者均因子宫良性病变引起月经过多,随机分为对照组和观察组各30例。对照组仅行子宫内膜电切术治疗,观察组行子宫内膜电切术联合左炔诺孕酮宫内缓释系统。观察两组患者的疗效。结果术后3个月,两组患者的月经量、血红蛋白和子宫内膜厚度比较差异无统计学意义(P<0.05)。术后6个月及9个月,观察组的月经量、血红蛋白和子宫内膜厚度均明显优于对照组,差异有统计学意义(P<0.05)。结论宫腔镜子宫内膜电切术术后给予左炔诺孕酮宫内缓释系统干预治疗,可明显减少患者的月经量和月经过多复发,纠正贫血,疗效显著,值得临床推广。

Objective To study the effect of postoperative intervention of endometrial electrocision in the prevention of menorrhagia recurrence during perimenopausal period. Methods 60 cases of patients undergoing endometrial electrocision in our hospital from June 2015 to December 2016 were selected and randomly divided into control group and observation group, with 30 cases in each group. The menorrhagia was cased by benign uterine lesions. The control group only received endometrial electrocision, while the observation group received endometrial electrocision combined with levonorgestrel intrauterine sustained-release system. The curative effect of two groups was observed. Results 3 months after surgery, no statistical difference was found in the menstrual blood volume, hemoglobin and endometrial thickness between two groups. 6 months and 9 months after surgery, the menstrual blood volume, hemoglobin and endometrial thickness of observation group were significantly better than those of control group, with statistical differences （P〈0.05）. Conclusions Levonorgestrel intrauterine sustained-release system intervention after hysteroscopic endometrial electrocision can significantly reduce the menstrual blood volume of patients and menorrhagia recurrence and correct the anemia with significant effect, which is worthy of clinical promotion.