摘要:
目的 探讨采用宫腔镜子宫内膜息肉切除术联合内美通治疗子宫内膜息肉的有效性.方法 选取2014年2月至2015年6月期间本院收治的子宫内膜息肉患者98例,均采用宫腔镜子宫内膜息肉切除术进行治疗,按照术后处理方法的不同将其分为观察组和对照组,其中对照组患者术后接受常规处理,观察组则加用内美通进行治疗,对两组患者子宫内膜厚度、月经经期及复发情况进行观察记录.结果 两组患者在术后随访期间其子宫内膜厚度均呈现小幅度增厚趋势,但尚不明显.其中在不同随访时间点观察组患者的子宫内膜厚度[(2.9±0.6)mm、(2.8±0.6)mm、(2.9±0.5)mm]均明显小于对照组[(3.5±0.8)mm、(3.7±0.7)m mm、(3.7±0.8)mm],差异均有统计学意义(均P<0.05);在不同随访时间点,观察组患者月经经期[(7.2±2.3)d、(7.2±2.5)d、(7.1±2.0)d]均明显短于对照组[(8.6±3.8)d、(8.5±3.9)d、(8.8±3.5)d],差异均有统计学意义(均P< 0.05);观察组患者的术后复发率明显低于对照组(2.04%比14.29%),差异有统计学意义(P<0.05).结论 在子宫内膜息肉患者接受宫腔镜子宫内膜切除术后给予其内美通治疗,可有效降低术后复发率,促进患者子宫内膜功能改善,建议在临床进一步推广应用.%Objective To explore the effect of hysteroscopic resection of endometrial polyps combined with Nemestran in the treatment of endometrial polyps.Methods 98 cases of endometrial polyps admitted to our hospital from February 2014 to June 2015 were treated with hysteroscopic resection of endometrial polyps,and were divided into observation group and control group according to different postoperative management methods.The control group received conventional treatment,and the observation group received Nemestran treatment on the basis.The endometrial thickness,menstrual period,and recurrence were observed and recorded.Results The endometrial thickness showed a slight thickening trend in the two groups during follow-up,but it was not obvious.The endometrial thickness in the observation group [(2.9±0.6)mm,(2.8±0.6)mm,(2.9±0.5)mm] was significantly lower than that in the control group [(3.5±0.8)mm,(3.7±0.7)mm,(3.7±0.8)mm] at each follow-up time point,with statistically significant difference (P<0.05).The menstrual cycle in the observation group [(7.2±2.3)d,(7.2±2.5)d,(7.1±2.0)d] was significantly shorter than that in the control group [(8.6±3.8)d,(8.5±3.9)d,(8.8±3.5) d] at each follow-up time point,with statistically significant difference (P<0.05).The postoperative recurrence rate of the observation group was significantly lower than that of the control group (2.04% vs.14.29%),with statistically significant difference (P<0.05).Conclusion On the basis of hysteroscopic resection of endometrial polyps,Nemestran in the treatment of endometrial polyps can effectively reduce the recurrence rate,and promote endometrial functional improvement,worthy of further clinical application.