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目的分析宫腔镜电切术联合孕激素对早期子宫内膜癌患者生育功能的影响。方法选取2013-01-2013-12青岛市第九人民医院5例保留生育功能治疗的早期子宫内膜癌患者的临床资料进行回顾性分析。所有患者均采用宫腔镜电切术联合孕激素治疗,术后2年随访调查患者的妊娠结局。结果 5例患者均顺利完成手术,1例患者术后4个月出现子宫内膜增生,经2个月的治疗后得到完全缓解;其与4例患者术后无并发症状出现。5例患者中有4例自然妊娠,且均顺利分娩。2年后随访发现,5例患者均无癌症组织存活。结论严格遵循适用证的前提下,为想要保留生育功能的早期子宫内膜癌患者提供宫腔镜电切术联合孕激素治疗,能够有效保障患者的生育功能。
Objective To analyze the effect of hysteroscopic electrotomy combined with progestin on the reproductive function of patients with early endometrial cancer. Methods The clinical data of 5 patients with early stage endometrial cancer who retained fertility function in 2013 Ninth People’s Hospital of Qingdao City from 2013 to 2013 were retrospectively analyzed. All patients were treated with hysteroscopic electrotomy combined with progestin, 2-year follow-up survey of patients with pregnancy outcomes. Results All the 5 patients completed the operation successfully. One patient had endometrial hyperplasia 4 months after operation and achieved complete remission after 2 months of treatment. There was no postoperative complications in 4 patients. Of 5 patients, 4 had spontaneous pregnancies and delivered well. Follow-up after 2 years showed that none of the 5 patients survived cancer. Conclusion Hysteroscopic combined with progestin therapy for patients with early stage endometrial cancer who want to keep reproductive function can effectively protect their reproductive function under the strict compliance with the applicable certificate.