宫腔镜下子宫内膜息肉切除术联合地屈孕酮治疗子宫内膜息肉的临床效果分析

Clinical efficacy analysis of hysteroscopic endometrial polypectomy combined with dexmedetone in treatment of endometrial polyps

目的分析子宫内膜息肉患者应用宫腔镜下子宫内膜息肉切除术联合地屈孕酮治疗的临床效果。方法选取78例子宫内膜息肉患者,根据随机数字表法分为试验组(采用宫腔镜下子宫内膜息肉切除术联合术后口服地屈孕酮片治疗)与对照组(采用宫腔镜下子宫内膜息肉切除术治疗),各39例。对比两组治疗效果、复发率、子宫内膜参数、月经情况及性激素水平。结果试验组治疗总有效率高于对照组,复发率低于对照组(P<0.05)。试验组治疗后的子宫内膜参数、月经情况和性激素水平均优于对照组(P<0.05)。结论宫腔镜下子宫内膜息肉切除术联合地屈孕酮治疗子宫内膜息肉患者,疗效显著,可有效改善患者的子宫内膜参数、月经情况及性激素水平。

Objective To analyze clinical efficacy of hysteroscopic endometrial polypectomy combined with dexmedetone in treatment with endometrial polyps.Methods 78 patients with endometrial polyps were selected and divided into the experimental group(treated with hysteroscopic endometrial polyp resection combined with postoperative oral desdrogesterone tablets)and the control group(treated with hysteroscopic endometrial polyp resection)according to random number table method,with 39 cases each.The therapeutic effect,recurrence rate,endometrial parameters,menstruation and sex hormone levels were compared between the two groups.Results The total effective rate of experimental group was higher than that of control group,and the recurrence rate was lower than that of control group(P<0.05).After treatment,endometrial parameters,menstrual status and sex hormone levels of experimental group were better than those of control group(P<0.05).Conclusion Hysteroscopic endometrial polypectomy combined with dexmedetone has therapeutic effect on endometrial polyps,improve endometrial parameters,menstrual status,and sex hormone levels.