增殖期雌激素水平对经宫腔镜子宫内膜息肉电切患者术后子宫内膜厚度的影响

发布时间：2018-01-16 09:43

本文关键词：增殖期雌激素水平对经宫腔镜子宫内膜息肉电切患者术后子宫内膜厚度的影响　出处：《医学与哲学(B)》2017年11期 　论文类型：期刊论文

【摘要】：分析增殖期雌激素(E2)水平对经宫腔镜子宫内膜息肉电切(TCRP)患者术后子宫内膜厚度的影响。回顾性研究笔者所在医院妇科321例行TCRP治疗的患者资料。单因素回归分析显示:不同E2水平下TCRP术后宫腔恢复时间、排卵期内膜厚度及内膜形态的改变差异无统计学意义(P0.05);调整混杂因素行多因素分析显示:术后宫腔恢复时间、排卵期内膜形态改变差异无统计学意义(P0.05)。但排卵期内膜厚度随E2水平升高而增加,差异有统计学意义(P0.05)。因此,增殖期E2水平对TCRP术后患者排卵期子宫内膜厚度增加具有影响,有助于指导临床工作。
[Abstract]:Analysis of TCRP by transhysteroscopic resection of endometrial polyps at the level of estradiol (E2) in proliferative phase. The effect of endometrial thickness on postoperative endometrial thickness. A retrospective study was made on the data of 321 gynecologic patients treated with TCRP in our hospital. Univariate regression analysis showed that:. The recovery time of uterine cavity after TCRP was different at different E2 levels. There was no significant difference in intimal thickness and intimal morphology during ovulation. Multivariate analysis showed that there was no significant difference in endometrial morphology between uterine cavity recovery time and ovulatory phase, but the thickness of endometrium increased with the increase of E _ 2 level during ovulatory phase. The difference was statistically significant (P 0.05). Therefore, the level of E _ 2 in proliferative phase had an effect on the increase of endometrial thickness in ovulatory stage after TCRP, which was helpful to guide clinical work.
【作者单位】：西安医学院第一附属医院(全科医学院)妇科;西安医学院第一附属医院(全科医学院)麻醉科;西安医学院护理学院;
【基金】：2016年陕西省科技厅社会发展攻关项目(2016SF-111) 2016年西安医学院护理学省级重点学科建设项目(16hlxk06)
【分类号】：R713.4
【正文快照】： 710038(3)西安医学院护理学院陕西西安710021子宫内膜息肉(endometrial polyps,EPs)[1]为女性子宫腔内常见良性病变,其数量、大小及形态多样,为子宫局部内膜过度生长形成。临床表现[2]多为不规则阴道流血,但大多数患者并无明显症状,且部分患者合并不孕[3-4]。有研究发现[2],EP

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