宫腔镜电切术+曼月乐治疗异常子宫出血患者的效果研究

Study on the Effect of Hysteroscopic Resection + Mirena in the Treatment of Patients with Abnormal Uterine Bleeding

目的研究宫腔镜电切术+曼月乐治疗异常子宫出血患者的效果。方法选择2019年2月-2020年7月75例异常子宫出血患者为研究对象,随机分成对照组(n=37,宫腔镜电切术)、观察组(n=38,宫腔镜电切术+曼月乐治疗),比较两组治疗结果。结果经随访比较,观察组闭经(5.3%)与月经失调(2.6%)发生率较对照组低,差异有统计学意义(χ^(2)=9.115、8.914,P<0.05)。观察组治疗认同度(97.4%)高于对照组。差异有统计学意义(χ^(2)=10.242,P<0.05)。治疗后,观察组生活质量较对照组高,差异有统计学意义(t=16.052、10.958、11.549、7.291,P<0.05)。结论为异常子宫出血患者采用宫腔镜电切术+曼月乐治疗,可降低其闭经与子宫切除发生率,提高治疗效果。

Objective To study the effect of hysteroscopic resection plus Mirena in the treatment of patients with abnormal uterine bleeding.Methods From February 2019 to July 2020,75 patients with abnormal uterine bleeding were selected as the research objects,and they were randomly divided into a control group(n=37,hysteroscopic resection)and an observation group(n=38,hysteroscopic resection)+Mirena treatment,compared the treatment results of the two groups.Results After follow-up comparison,the incidence of amenorrhea(5.3%)and menstrual disorders(2.6%)in the observation group was lower than the control group,and the difference was statistically significant(χ^(2)=9.115,8.914,P<0.05).The treatment evaluation results of the observation(97.4%)was higher than the control group.The difference was statistically significant(χ^(2)=10.242,P<0.05).After treatment,the quality of life of the observation group was higher than the control group,and the difference was statistically significant(t=16.052,10.958,11.549,7.291,P<0.05).Conclusion The use of hysteroscopic resection+Mirena for patients with abnormal uterine bleeding can reduce the incidence of amenorrhea and hysterectomy,and improve the therapeutic effect.