摘要
目的探究宫腔镜子宫内膜息肉电切术(TCRP)联合左炔诺孕酮宫内节育系统(商品名:曼月乐)宫内放置预防子宫内膜息肉复发的疗效。方法选取100例子宫内膜息肉患者为研究对象,按照是否使用曼月乐划分为对照组(单纯行TCRP治疗)与观察组(行TCRP联合曼月乐治疗),每组50例。对比两组复发率、月经量、血红蛋白水平、子宫内膜厚度。结果观察组复发率2.00%比对照组的14.00%更低(P<0.05)。治疗后,两组月经量、血红蛋白水平、子宫内膜厚度较治疗前改善,且观察组月经量(43.22±1.85)ml比对照组的(60.12±2.04)ml更少,血红蛋白水平(113.26±2.85)g/L比对照组的(95.12±2.03)g/L更高,子宫内膜厚度(4.63±0.24)mm比对照组的(6.12±0.54)mm更小(P<0.05)。结论TCRP联合曼月乐宫内放置治疗子宫内膜息肉患者,可降低其复发率,改善子宫内膜厚度,值得临床借鉴。
Objective To explore the efficacy of transcervical resection of polyps(TCRP)combined with intrauterine placement of levonorgestrel intrauterine system(trade name:Mirena)to prevent the recurrence of endometrial polyps.Methods 100 patients with endometrial polyps were selected as the research subjects and divided into the control group(treated with TCRP alone)and the observation group(treated with TCRP combined with Mirena)according to whether Mirena was used or not,with 50 cases in each group.The recurrence rate,menstrual volume,hemoglobin level,and endometrial thickness were compared between the two groups.Results The recurrence rate 2.00%of the observation group was lower than 14.00%of the control group(P<0.05).After the treatment,the menstrual volume,hemoglobin level and endometrial thickness in both groups improved compared with those before the treatment;the menstrual volume(43.22±1.85)ml in the observation group was less than(60.12±2.04)ml in the control group,and the hemoglobin level(113.26±2.85)g/L was higher than(95.12±2.03)g/L in the control group,and the endometrial thickness(4.63±0.24)mm was less than(6.12±0.54)mm in the control group(P<0.05).Conclusion TCRP combined with intrauterine placement of Mirena in patients with endometrial polyps can reduce the recurrence rate and improve the endometrial thickness,and is worthy of clinical reference.
作者
严莉
彭华粉
YAN Li;PENG Hua-fen(Liupanshui People's Hospital,Liupanshui 553001,China)
出处
《中国实用医药》
2025年第20期109-111,共3页
China Practical Medicine
基金
六盘水市社会攻关计划项目(项目编号:52020-2021-0-3-32),项目名称:宫腔镜子宫内膜息肉电切术(TCRP)联合曼月乐宫内放置预防子宫内膜息肉复发的疗效研究。
