宫腔镜子宫内膜息肉电切术联合黄体酮胶囊治疗子宫内膜息肉的疗效观察

Efficacy observation of transcervical resection of polyp combined with progesterone capsule in the treatment of endometrial polyps

目的探讨宫腔镜子宫内膜息肉电切术(TCRP)联合黄体酮胶囊治疗子宫内膜息肉(EP)的临床疗效。方法96例子宫内膜息肉患者,随机分为对照组与观察组,各48例。对照组采用单纯宫腔镜子宫内膜息肉电切术治疗,观察组采用宫腔镜子宫内膜息肉电切术联合黄体酮胶囊治疗。比较两组治疗效果及治疗后12个月的复发情况。结果观察组治疗总有效率为97.92%,高于对照组的85.42%,差异有统计学意义(P<0.05)。治疗后12个月,观察组子宫内膜息肉复发率为2.08%,低于对照组的14.58%,差异有统计学意义(P<0.05)。结论采用宫腔镜子宫内膜息肉电切术联合黄体酮胶囊对子宫内膜息肉患者进行治疗,其效果显著,能够有效预防和减少子宫内膜息肉的复发,值得临床推广使用。

Objective To discuss the clinical efficacy of transcervical resection of polyp(TCRP)surgery combined with progesterone capsule in the treatment of endometrial polyps(EP).Methods A total of 96 patients with endometrial polyps were randomly divided into control group and observation group,with 48 cases in each group.The control group received simple transcervical resection of endometrial polyp,and the observation group received transcervical resection of polyp combined with progesterone capsule.The therapeutic effect and recurrence 12 months after treatment between the two groups.Results The total effective rate of the observation group was 97.92%,which was higher than 85.42%of the control group,and the difference was statistically significant(P<0.05).After 12 months of treatment,the recurrence rate of endometrial polyps in the observation group was 2.08%,which was lower than 14.58%in the control group,and the difference was statistically significant(P<0.05).Conclusion Transcervical resection of polyp combined with progesterone capsule has significant effect on patients with endometrial polyps,and can effectively prevent and reduce the recurrence of endometrial polyps,which is worthy of clinical promotion and application.