TCRP术后LNG-IUS放置对子宫内膜息肉合并中度贫血患者内膜厚度、复发率及并发症的影响
发布时间：2018-11-27 07:17
【摘要】：目的探讨宫腔镜息肉电切术(TCRP)后左炔诺孕酮宫内缓释系统(LNG-IUS)放置对子宫内膜息肉合并中度贫血患者内膜厚度、复发率及并发症的影响。方法研究对象选取该院2014年1月-2016年1月收治子宫内膜息肉合并中度贫血患者共140例,以随机数字表法分为对照组(70例)和观察组(70例),分别给予TCRP术单用和在此基础上术后加用LNG-IUS放置;比较两组患者治疗前后子宫内膜厚度、血红蛋白水平、画报失血评估表(PBAC)评分、复发率及并发症发生率等。结果观察组患者治疗后子宫内膜厚度明显少于对照组和治疗前(P0.05);观察组患者治疗后血红蛋白水平和PBAC评分均明显优于对照组和治疗前(P0.05);观察组患者随访复发率明显低于对照组(P0.05);同时两组患者并发症发生率比较差异无统计学意义(P0.05)。结论 TCRP术后LNG-IUS放置治疗子宫内膜息肉合并中度贫血可有效降低子宫内膜厚度,减少子宫出血量,避免远期复发,且未增加相关并发症发生概率。
[Abstract]:Objective to investigate the effect of intrauterine sustained release system (LNG-IUS) placement of levonorgestrel (LNG-IUS) on endometrial thickness, recurrence rate and complications in patients with moderate anemia after hysteroscopic polyp resection (TCRP). Methods from January 2014 to January 2016, 140 patients with endometrial polyps with moderate anemia were randomly divided into control group (n = 70) and observation group (n = 70). TCRP was given alone and LNG-IUS was added after operation. The endometrial thickness, hemoglobin level, (PBAC) score, recurrence rate and complication rate were compared between the two groups before and after treatment. Results the thickness of endometrium in the observation group was significantly lower than that in the control group and before treatment (P0.05), and the hemoglobin level and PBAC score in the observation group were significantly better than those in the control group and before treatment (P0.05). The recurrence rate of the patients in the observation group was significantly lower than that in the control group (P0.05), and there was no significant difference in the incidence of complications between the two groups (P0.05). Conclusion LNG-IUS placement after TCRP in the treatment of endometrial polyps with moderate anemia can effectively reduce endometrial thickness, reduce the amount of uterine bleeding, avoid long-term recurrence, and do not increase the probability of complications.
【作者单位】： 浙江省义乌市中心医院妇科;
【分类号】：R556;R711.74
本文编号：2359834
[Abstract]:Objective to investigate the effect of intrauterine sustained release system (LNG-IUS) placement of levonorgestrel (LNG-IUS) on endometrial thickness, recurrence rate and complications in patients with moderate anemia after hysteroscopic polyp resection (TCRP). Methods from January 2014 to January 2016, 140 patients with endometrial polyps with moderate anemia were randomly divided into control group (n = 70) and observation group (n = 70). TCRP was given alone and LNG-IUS was added after operation. The endometrial thickness, hemoglobin level, (PBAC) score, recurrence rate and complication rate were compared between the two groups before and after treatment. Results the thickness of endometrium in the observation group was significantly lower than that in the control group and before treatment (P0.05), and the hemoglobin level and PBAC score in the observation group were significantly better than those in the control group and before treatment (P0.05). The recurrence rate of the patients in the observation group was significantly lower than that in the control group (P0.05), and there was no significant difference in the incidence of complications between the two groups (P0.05). Conclusion LNG-IUS placement after TCRP in the treatment of endometrial polyps with moderate anemia can effectively reduce endometrial thickness, reduce the amount of uterine bleeding, avoid long-term recurrence, and do not increase the probability of complications.
【作者单位】： 浙江省义乌市中心医院妇科;
【分类号】：R556;R711.74
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1 杨秀萍,邓仲端,钱世玲,邵俊;子宫恶性横纹肌样瘤一例[J];中华病理学杂志;1999年02期
，本文编号：2359834
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