摘要
Abstract
Objective To study the preventive effect of oral progesterone and Mirena ring on recurrence after hysteroscopic endometrial polypectomy.Methods A total of 68 patients who underwent hysteroscopic endometrial polypectomy in our hospital from May 2021 to February 2022 were selected as the research objects.They were divided into observation group and control group by random number table method,with 34 patients in each group.The control group was treated with oral progesterone after operation,and the observation group was treated with Mirena ring placement after operation.The recurrence rate,menstrual index,endometrial thickness,sex hormone levels[follicle estrogen(FSH),luteinizing hormone(LH),estradiol(E2)]and adverse reactions were compared between the two groups.Results After 6 months of follow-up,the recurrence rate of the observation group was 2.94％,which was lower than 14.71％of the control group(P＜0.05).The menstrual volume and menstrual cycle of the observation group were less than those of the control group after 2 months of treatment(P＜0.05).The endometrial thickness of the two groups at 2,3 and 6 months after treatment was less than that before treatment,and that of the observation group was less than that of the control group(P＜0.05).There was no significant difference in the levels of FSH,LH and E2 between the two groups before and after treatment(P＞0.05).The incidence of adverse reactions in the observation group was 5.88％,which was lower than 17.65％in the control group(P＜0.05).Conclusion Oral progesterone and Mirena ring can play a certain role in preventing recurrence after hysteroscopic endometrial polypectomy.However,Mirena ring can reduce the recurrence rate and the incidence of adverse reactions,promote the reduction of endometrial thickness,inhibit the decrease of sex hormone levels,improve menstrual volume and cycle,and benefit the good prognosis of patients,which has important clinical application value.关键词
宫腔镜子宫内膜息肉电切术/孕激素/曼月乐环/复发率Key words
Hysteroscopic endometrial polypectomy/Progesterone/Mirena ring/Recurrence rate分类
临床医学
