论文部分内容阅读
目的探讨宫腔镜电切术联合米非司酮治疗子宫内膜增生的临床疗效。方法选取2012年1月至2014年3月经诊断确诊的子宫内膜增生患者64例,随机将其分为两组,各32例。治疗组患者给予宫腔镜电切术联合米非司酮治疗;对照组患者给予单一宫腔镜电切术治疗。观察两组患者的内膜厚度、月经量、经期及复发率等。结果治疗组患者子宫内膜厚度、月经量、经期均明显低于对照组,差异有统计学意义(P<0.01);治疗组患者的复发率明显低于对照组,差异有统计学意义(P<0.01)。结论宫腔镜电切术联合米非司酮治疗子宫内膜增生,可降低复发率,缩短治疗时间,手术痛苦较轻,临床疗效明显。
Objective To investigate the clinical efficacy of hysteroscopic electrotomy combined with mifepristone in the treatment of endometrial hyperplasia. Methods Sixty-four patients diagnosed as endometrial hyperplasia from January 2012 to March 2014 were randomly divided into two groups (n = 32 in each group). Patients in the treatment group were treated with hysteroscopic electrotomy combined with mifepristone; patients in the control group were treated with single hysteroscopic resection. The intima thickness, menstrual flow, menstrual period and recurrence rate of the two groups were observed. Results The thickness of the endometrium, menstrual flow and menstruation in the treatment group were significantly lower than those in the control group (P <0.01). The recurrence rate of the treatment group was significantly lower than that of the control group (P <0.01). Conclusion Hysteroscopic resection combined with mifepristone treatment of endometrial hyperplasia, can reduce the recurrence rate and shorten the treatment time, surgery, less pain, the clinical curative effect is obvious.