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目的探讨宫腔镜联合左炔诺孕酮宫内释放系统治疗子宫内膜息肉临床效果。方法 108例子宫内膜息肉患者随机分为观察组和对照组,各54例。对照组采用宫腔镜治疗,观察组在宫腔镜治疗后放置左炔诺孕酮宫内释放系统,对两组患者随访6个月,比较两组患者的治疗效果、月经量、经期、血红蛋白、子宫内膜厚度。结果观察组治疗总有效率为98.15%,明显高于对照组的83.33%,两组比较差异有统计学意义(P<0.05);治疗6个月后观察组患者月经量少于对照组,经期短于对照组,子宫内膜厚度比对照组薄,血红蛋白量明显高于对照组,两组各值比较差异均有统计学意义(P<0.05)。结论宫腔镜联合左炔诺孕酮宫内释放系统治疗子宫内膜息肉可缩短经期,减少月经量、子宫内膜厚度,提高血红蛋白量,具有显著临床治疗效果,值得在临床中推广应用。
Objective To investigate the clinical effect of hysteroscopy combined with levonorgestrel releasing intrauterine system in the treatment of endometrial polyps. Methods 108 patients with endometrial polyps were randomly divided into observation group and control group, each 54 cases. The control group was treated with hysteroscopy. The observation group was given levonardgestrel intrauterine release system after hysteroscopic treatment. The two groups were followed up for 6 months. The therapeutic effect, menstrual flow, menstrual period, hemoglobin , Endometrial thickness. Results The total effective rate of the observation group was 98.15%, significantly higher than that of the control group (83.33%), the difference was statistically significant (P <0.05). After 6 months of treatment, the observation group had less menstrual flow than the control group, Shorter than the control group, the thickness of the endometrium was thinner than the control group, and the hemoglobin level was significantly higher than that of the control group. There was significant difference between the two groups (P <0.05). Conclusion hysteroscopy combined with levonorgestrel release of intrauterine system for the treatment of endometrial polyps can shorten the menstrual period, reduce menstrual flow, endometrial thickness, increase the amount of hemoglobin, has a significant clinical effect, it is worth to promote the clinical application.