宫腔镜电切分别联合天然孕激素、炔雌醇环丙孕酮片治疗子宫内膜息肉的效果观察

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Abstract ObjectiveTo investigate the effect of hysteroscopic electrotomy plus natural progesterone and hysteroscopic electrotomy plus Ethinylestradiol and Cyproterone Acetate Tablets in the treatment of endometrial polyps.Methods Altogether 105 patients with endometrial polyps who were treated in our hospital from June 2015 to June 2016 were selected and randomly divided into group A,group B and group C according to the different treatment methods.All the patients were treated with hysteroscopic electrotomy,among which group A(35 cases)were given Ethinylestradiol and Cyproterone Acetate Tablets post-operatively;group B (35 cases)were given natural progesterone capsules post-operatively;group C (35 cases)received no medication treatment post-operatively.The clinical effective rate,recurrence rate,preoperative and post-operative endometrial thickness and hemoglobin level were compared among three groups.Results The total effective rate of group A and group B was significantly higher than that of group C,with statistically significant difference(P＜0.05);no statistically significant difference was seen between group A and group B(P＞0.05);in contrast with post-operative 6-month results,the endometrial thickness and recurrence rate of group A and group B at post-operative 1 year were significantly lower than those of group C,but the hemoglobin level was significantly higher than that of group C,with statistically significant difference(P＜0.05).Conclusion Hysteroscopic electrotomy combined with natural progestin or Ethinylestradiol and Cyproterone Acetate Tablets is effective and safe in the treatment of endometrial polyps,with high safety and low recurrence rate.

Key words： Endometrium polyps Hysteroscopy Natural progesterone Ethinylestradiol and cyproterone acetate

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	YANG Cai-hong
	LI Yong-kui
	LI Cui-ping
	LIN Fang

Cite this article:

YANG Cai-hong,LI Yong-kui,LI Cui-ping, et al. Observation of efficacy of hysteroscopic electrotomy plus natural progesterone and hysteroscopy plus Ethinylestradiol and Cyproterone Acetate Tablets in the treatment of endometrial polyps[J]. 中国当代医药, 2018, 25(7): 106-108.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I7/106

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