摘要
Abstract
Objective To analyze the therapeutic effect of hysteroscopic electrotomy combined with Levonorgestrel Releasing Intrauterine System on patients with endometrial polyp(EP)and its effect on pictorial blood loss assessment chart(PBAC).Methods A total of 150 EP patients admitted to Jiangyin People's Hospital from January 2020 to December 2022 were studied,and they were divided into study group and control group by lottery method,with 75 cases in each group.All patients were treated with hysteroscopic electrotomy.The control group was given Progesterone Capsules after operation,and the study group was placed with Levonorgestrel Releasing Intrauterine System after operation.The PBAC score,endometrial thickness,and the recurrence rate 12 months after surgery were compared between the two groups.Results The PBAC scores of the two groups at 1,3,6 and 12 months after operation were lower than those before operation(P<0.05).In the control group,the PBAC scores at 3,6,and 12 months after operation were gradually higher than those at 1 month after operation(P<0.05).The PBAC scores of the study group were lower than those of the control group at 3,6 and 12 months after operation(P<0.05).The endometrial thickness of the two groups at 1,3,6 and 12 months after operation was thinner than that before operation(P<0.05).In the control group,the endometrial thickness at 6 and 12 months after operation was thicker than that at 1 month after operation(P<0.05).The endometrial thickness of the study group was thinner than that of the control group at 3,6 and 12 months after operation(P<0.05).The recurrence rate of the study group was lower than that of the control group(P<0.05).Conclusion Hysteroscopic electrotomy combined with Levonorgestrel Releasing Intrauterine System in patients with EP can reduce menstrual volume,endometrial thickness,and the recurrence rate of EP,and the long-term effect is better.关键词
宫腔镜下电切术/左炔诺孕酮宫内缓释节育系统/子宫内膜息肉/月经失血图/复发率Key words
Hysteroscopic electrotomy/Levonorgestrel Releasing Intrauterine System/Endometrial polyp/Pictorial blood loss assessment chart/Recurrence rate分类
医药卫生
