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目的研究围绝经期子宫内膜增厚患者的诊断和临床诊治效果。方法选择2014年9月—2015年9月在平顶山市第一人民医院诊治的子宫出血的患者94例,根据诊治方法分为参照组和诊治组,各组患者均47例。诊治组患者给予去氧孕烯炔雌醇片治疗,参照组患者给予地屈孕酮片治疗,对两组的诊治效果进行比较。结果参照组患者临床诊疗整体有效率为74.47%,诊治组为93.62%,组间对比差异具有统计学意义(P<0.05)。结论尽早确立围绝经期子宫内膜增厚的诊断具有重要作用,利用去氧孕烯炔雌醇片疗法展开诊治可以取得明显的诊治效果,改善了患者的症状以及激素水平,具有临床推广意义。
Objective To study the diagnosis and clinical diagnosis and treatment of peri-menopausal endometrial thickening. Methods Ninety-four patients with uterine bleeding diagnosed and treated in the First People’s Hospital of Pingdingshan from September 2014 to September 2015 were divided into reference group and diagnosis and treatment group according to the diagnosis and treatment methods, with 47 patients in each group. The patients in the treatment group were treated with desogestrel ethinyl estradiol tablets, and the patients in the reference group were treated with medoxomil tablets. The diagnosis and treatment effects of the two groups were compared. Results The overall effective rate of clinical diagnosis and treatment was 74.47% in the reference group and 93.62% in the diagnosis and treatment group. The difference between the two groups was statistically significant (P <0.05). Conclusions As soon as possible to establish the diagnosis of endometrial thickening in perimenopausal period has an important role, the use of desogestrel ethinyl estradiol therapy can achieve significant diagnosis and treatment, improve the patient’s symptoms and hormone levels, with clinical significance.