地屈孕酮片联合宫腔镜下息肉切除术治疗子宫内膜息肉的效果

The effect of combination of dexmedetone tablets and hysteroscopic polypectomy in the treatment of endometrial polyps

目的 探讨地屈孕酮片联合宫腔镜下息肉切除术治疗子宫内膜息肉的效果。方法 选取本院60例子宫内膜息肉患者为研究对象,随机分为两组,各30例。参照组予以宫腔镜下息肉切除术治疗,研究组在参照组的基础上联合地屈孕酮片治疗,比较两组的首次月经量、月经恢复时间、疾病复发率、子宫内膜厚度。结果 研究组月经恢复时间短于参照组,首次月经量少于参照组,差异有统计学意义(P<0.05);研究组疾病复发率、并发症发生率低于参照组,差异有统计学意义(P<0.05);研究组子宫内膜厚度小于参照组,差异有统计学意义(P<0.05)。结论 对子宫内膜息肉患者实施地屈孕酮片联合宫腔镜下息肉切除术治疗,能加快患者的月经恢复时间,促进月经量恢复正常,降低疾病复发率与并发症发生率,临床应用价值高。

Objective To explore the effect of combination therapy with dexmedetone tablets and hysteroscopic polypectomy in the treatment of endometrial polyps.Methods 60 patients with endometrial polyps in our hospital were selected as the research subjects and randomly divided into two groups,with 30 cases in each group.The reference group was treated with hysteroscopic polypectomy,while the study group was treated with a combination of medroxyprogesterone tablets on the basis of the reference group.Results The first menstrual flow,menstrual recovery time,disease recurrence rate,and endometrial thickness of the two groups were compared.The results showed that the menstrual recovery time in the study group was shorter than that in the control group,and the first menstrual flow was less than that in the control group,with a statistically significant difference(P<0.05);The incidence of disease recurrence and complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05);The thickness of the endometrium in the study group was smaller than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of dexmedetone tablets and hysteroscopic polypectomy can accelerate the recovery time of menstruation,promote the return of menstrual flow to normal,reduce the incidence of disease recurrence and complications in patients with endometrial polyps,and have high clinical application value.