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目的:探究去氧孕烯炔雌醇片与宫腔镜子宫内膜息肉切除术联合治疗多发性子宫内膜息肉的临床疗效。方法:将我院2012年3月~2013年3月收治的120例多发性子宫内膜息肉患者随机分成两组,实验组与对照组(各60例),实验组在进行TCRP手术前一个月内服用去氧孕烯炔雌醇片,对照组TCRP手术前不使用去氧孕烯炔雌醇,记录并分析两组患者临床资料,并分析临床疗效。结果:手术前实验组平均子宫内膜厚度(6.83±1.54),显著小于对照组(8.01±1.73),数据经统计学分析处理,t=3.9463,P<0.05,差异具有统计学意义。同时,实验组手术时间、术后阴道出血时间、EP复发率均明显低于对照组,数据经统计学处理,P<0.05,差异具有统计学意义。结论:行宫腔镜子宫内膜息肉切除术(TCRP)前使用去氧孕烯炔雌醇片预处理,能够使子宫内膜的厚度变薄,明显缩短手术时间以及术后阴道出血时间,降低多发性子宫内膜息肉(EP)的复发率。
Objective: To investigate the clinical efficacy of ethinyl ethinyl estradiol and hysteroscopic endometrial polypectomy in the treatment of multiple endometrial polyps. Methods: One hundred and twenty patients with multiple endometrial polyps who were treated in our hospital from March 2012 to March 2013 were randomly divided into two groups, experimental group and control group (60 cases each). One month before TCRP operation Administration of desogestrel ethinyl estradiol tablets in the control group before the operation of TCRP did not use norgestrel ethinyl estradiol, clinical data were recorded and analyzed in both groups and analyzed the clinical efficacy. Results: The mean endometrial thickness of the experimental group before operation was 6.83 ± 1.54, which was significantly lower than that of the control group (8.01 ± 1.73). The data were statistically analyzed, t = 3.9463, P <0.05. The difference was statistically significant. At the same time, the operation time of the experimental group, postoperative vaginal bleeding time, EP recurrence rate were significantly lower than the control group, the data were statistically processed, P <0.05, the difference was statistically significant. Conclusions: Pretreatment with ethinyl estradiol pre-treatment before hysteroscopic endometrial polypectomy (TCRP) can make the thickness of the endometrium thinner, significantly shorten the operation time and postoperative vaginal bleeding time, reduce the incidence of multiple Recurrence rate of endometrial polyps (EP).