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Effect comparison of Mirena and Marvelon in the prevention of endometrial polyp recurrence after TCRP |
WANG Yuan |
Department of Obstetrics and Gynecology,Shenzhen Ren′ai Hospital,Guangdong Province,Shenzhen 518000,China |
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Abstract Objective To compare the effect of levonorgestrel-releasing intrauterine system (trade name:Mirena) and Desogestrel and Ethinylestradiol Tablets (trade name:Marvelon) on the prevention of the recurrence of endometrial polyps after TCRP.Methods From January 2014 to January 2016,180 patients with endometrial polyps treated by TCRP in our hospital were selected and divided into observation group (Mirena placement,n=90) and control group (oral administration of Marvelon for 3 to 6 months,n=90) in random number table.The changes of menstrual blood volume after surgery,endometrial thickness,and endometrial polyp recurrence were observed and compared in the two groups.Results 6- and 12-month after treatment,the menstrual blood volume and recurrence rate in the observation group were (46.07±15.79) ml,(26.97±10.35) ml,and 1.11% respectively,was significantly lower than that in the control group [(71.12±19.27) ml,(85.72±20.28) ml,14.44%],the difference was statistically significant (P<0.05).After 6-month therapy,there was no significant difference in the thickness of endometrium between the two groups (P>0.05).However,12-month after treatment,the endometrium of the observation group was greatly thinner than that in the control group,the difference was statistically significant (P<0.05).Conclusion Compared with oral administration of Marvelon,application of Mirena can more effectively prevent the recurrence of endometrial polyps after TCRP.
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Received: 15 May 2017
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[1] |
黄丽华,向梅.子宫内膜息肉研究新进展[J].国际妇产科学杂志,2014,41(1):43.
|
[2] |
朱丽亚.绝经后子宫内膜息肉230例临床分析[J].中国医师进修杂志,2013,36(21):68.
|
[4] |
黄丽华,向梅.子宫内膜息肉研究新进展[J].国际妇产科学杂志,2014,41(1):43.
|
[5] |
夏恩兰.妇科内镜学[M].北京:人民卫生出版社,2001.
|
[7] |
李桂兰,谭毅,陈凤兰,等.不同方式治疗子宫内膜息肉不孕患者的疗效评价[J].现代诊断与治疗,2014,9(3):666.
|
[8] |
商敏,蔺莉.宫腔镜诊治子宫内膜息肉122例临床分析[J].中国微创外科杂志,2011,11(10):903.
|
[9] |
李淑贤.3种不同手术对子宫内膜息肉治疗的分析[J].中国卫生标准管理,2014,17(23):122.
|
[3] |
Janssen CA,Scholten PC,Heintz AP.A simple visual assessment technique to discriminate between menorrhagia and normal menstrual blood loss[J].Obstet Gynecol,1997,70(1):21.
|
[6] |
Peng X,Li T,Xia E, et al .A comparison of oestrogen receptor and progesterone receptor expression in endometrial polyps and endometrium of premenopausal women[J].J Obstet Gynaecol,2009,29(4):340.
|
[10] |
崔虹.宫腔镜手术治疗子宫内膜息肉的临床分析[J].中国实用医药,2015,8(23):96.
|
[11] |
杭晨,杨炜敏.宫腔镜电切术后不同方案预防子宫内膜息肉复发疗效分析[J].新医学,2014,45(1):45.
|
[12] |
王剑,邓海燕.宫腔镜子宫内膜息肉电切术后联合妈富隆预防子宫内膜息肉复发的疗效观察[J].中国医药导报,2012,9(8):72.
|
[13] |
黄建邕,李廉,朱世龙,等.左炔诺孕酮宫内缓释系统对子宫内膜息肉ER、PR表达的影响[J].广西医学,2013, 12(6):538.
|
[14] |
韩字研.现代口服避孕药除避孕外的妇科临床应用[J].实用妇产科杂志,2009,25(2):71.
|
[15] |
田荣.宫腔镜子宫内膜息肉切除术后配合激素治疗的效果研究[J].中国医学装备,2015,10(6):94-97.
|
[16] |
王红艳,陈红,邹阳,等.宫腔镜下子宫内膜息肉切除术后不同处理对息肉复发的影响[J].中国微创外科杂志,2013,13(6):500.
|
[17] |
武艳玲,黄树峰,孟军,等.口服醋酸甲羟孕酮片与宫内放置节育器预防术后子宫内膜息肉复发的效果比较[J].中国当代医药,2015,10(25):102.
|
|
|
|