中国当代医药2026，Vol.33Issue(19)：46-49,4.DOI:10.3969/j.issn.1674-4721.2026.19.10
口服孕激素与左炔诺孕酮宫内缓释系统放置治疗对子宫内膜息肉患者术后性激素、子宫内膜厚度及复发的影响
Effect of oral progesterone and levonorgestrel intrauterine sustained-re-lease system placement therapy on postoperative sex hormones,endome-trial thickness,and recurrence in patients with endometrial polyps
摘要
Abstract
Objective To explore the effect of oral progesterone and the placement of levonorgestrel intrauterine sus-tained-release system on the sex hormones,endometrial thickness,and recurrence in patients with endometrial polyps after hysteroscopic surgery.Methods A total of 96 patients with endometrial polyps admitted to Jiujiang Maternal and Child Health Hospital were selected as the research subjects from January 2023 to January 2025,they were divided into the observation group and the control group according to the random number table method,with 48 cases in each group.The control group received oral Desogestrel Tablets on the 14th day after surgery,while the observation group received the levonorgestrel intrauterine sustained-release system placement after surgery.The sex hormones,endometrial thickness,adverse reactions,and recurrence of the two groups were compared.Results There were no statistically significant differ-ences in sex hormone levels before and after treatment between the two groups(P＞0.05).The endometrial thickness of the observation group was lower than that of the control group after treatment,and the difference was statistically significant(P＜0.05).The total incidence of adverse reactions and recurrence rate in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion The effect of levonorgestrel intrauter-ine sustained-release system placement in the uterine cavity after hysteroscopy for patients with endometrial polyps is better than oral progesterone.It can better improve endometrial thickness,reduce recurrence rate,and has high safety,with little impact on sex hormone levels,and is worthy of clinical promotion and application.关键词
子宫内膜息肉/宫腔镜手术/孕激素/左炔诺孕酮宫内缓释系统/性激素/子宫内膜厚度/复发Key words
Endometrial polyps/Hysteroscopy/Proges-terone/Levonorgestrel intrauterine sustained-release system/Sex hormone/Endometrial thickness/Recurrence分类
医药卫生引用本文复制引用
廖程平,李志英..口服孕激素与左炔诺孕酮宫内缓释系统放置治疗对子宫内膜息肉患者术后性激素、子宫内膜厚度及复发的影响[J].中国当代医药,2026,33(19):46-49,4.基金项目
江西省卫生健康委科技计划项目(202211918). （202211918）
