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目的:探讨子宫内膜息肉宫腔镜手术后放置曼月乐宫内节育器预防复发、改善症状的效果。方法:选择因月经量多行宫腔镜诊治的子宫内膜息肉患者80例,术后分为曼月乐治疗组和对照组各40例,曼月乐治疗组术后放置曼月乐宫内节育器,观察子宫内膜息肉复发及月经改变情况。结果:80例患者中,曼月乐治疗组术后2年累计复发率分别为0.00%,对照组2年累计复发率为32.5%,两组比较,差异有统计学意义(P<0.05),曼月乐治疗3月后月经量较对照组明显减少,差异有统计学意义(P<0.05)。结论:子宫内膜息肉术后应用曼月乐宫内节育器治疗不仅能改善症状而且有助于预防子宫内膜息肉的复发,优于单纯子宫内膜息肉手术切除。
Objective: To investigate the effect of using Mirena IUD to prevent recurrence and improve symptoms after hysteroscopic endometrial polyps hysteroscopy. Methods: 80 cases of endometrial polyps diagnosed and treated by menstrual flow hysteroscopy were selected, and were divided into Mirena treatment group and control group (n = 40). The Mirena treatment group was given postoperative Mirena Device, observe the recurrence of endometrial polyps and menstrual changes. Results: In 80 patients, the cumulative recurrence rates at 2 years after operation were 0.00% in Mirena group and 32.5% in control group at 2 years. There was significant difference between the two groups (P <0.05) Moyue music after 3 months of menstrual flow than the control group was significantly reduced, the difference was statistically significant (P <0.05). Conclusion: The application of Mirena IUD after endometrial polyps not only can improve the symptoms but also prevent the recurrence of endometrial polyps, which is better than the surgical resection of endometrial polyps alone.