[1]从蓉俊*,孔彩霞,符圆圆,等.曼月乐和达芙通预防子宫内膜息肉切除术后复发的效果比较[J].中国计划生育和妇产科,2017,(3):39- 41，,45.
　CONG Rong-jun*,KONG Cai-xia,FU Yuan- yuan,et al.Comparison of the effects of Mirena and Duphaston on prevention of recurrence after transcervical resection of polyp[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):39- 41，,45.
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曼月乐和达芙通预防子宫内膜息肉切除术后复发的效果比较
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年3期
页码:
39- 41，,45
栏目:
论著与临床
出版日期:
2017-03-25

文章信息/Info

Title:
Comparison of the effects of Mirena and Duphaston on prevention of recurrence after transcervical resection of polyp
作者:
从蓉俊1*; 孔彩霞1; 符圆圆1; 丁屹2
1. 213000江苏常州，常州市中医医院妇科；2. 213200江苏常州，常州市金坛人民医院妇科
Author(s):
CONG Rong-jun1*;  KONG Cai-xia1;  FU Yuan- yuan1;  DING Yi2
1.Department of Gynecology,Changzhou Hospital of Traditional Chinese Medicine,Changzhou Jiangsu 213000,P.R.China; 2.Department of Gynecology, Changzhou Jintan People's Hospital,Changzhou Jiangsu 213000,P.R.China
关键词:
子宫内膜息肉; 达芙通; 曼月乐; 复发
Keywords:
endometrial polyps; Duphaston; Mirena; recurrence
分类号:
R 711.74
摘要:
目的比较曼月乐和达芙通预防宫腔镜下子宫内膜息肉切除术（transcervical resection of polyp，TCRP）后子宫内膜息肉（endometrial polyps，EP）复发的效果。方法选取2014年1月至2015年6月常州市中医医院收治的TCRP术后患者86例，按照随机数字表法分为对照组和观察组各43例。观察组术后放置曼月乐，对照组术后服用达芙通6月。随访12月，比较两组子宫内膜厚度、EP复发率及不良反应情况。结果两组术前和术后当日子宫内膜厚度比较差异无统计学意义(P＞005)，随访3月、6月、12月，两组子宫内膜厚度比较差异有统计学意义（P<005)；随访12月，观察组复发率（233 %）低于对照组（1860 %），差异有统计学意义（P＜005）；观察组不良反应发生率（465 %）明显低于对照组（2558 %）（P＜005）。结论TCRP术后放置曼月乐优于服用达芙通，曼月乐能够预防EP复发，减少不良反应，值得在临床中推广运用。
Abstract:
ObjectiveTo compare the efficacy of Mirena and Duphaston on prevention of endometrial polyps(EP) after transcervical resection of polyp（TCRP）. Methods86 patients were divided into control group and observation group (n= 43) according to the random number table. Data of TCRP were collected from January 2014 to June 2015 in Changzhou Traditional Chinese Medicine Hospital. Patients in the observation group were treated with Mirena and the control group received Duphaston for 6 months. Both groups were followed up for 12 months.The endometrial thickness, EP recurrence rate and adverse reactions were compared between the two groups. ResultsThere was no significant difference in the thickness of endometrium between the two groups the day before and after operation(P>005).There were significant differences in the endometrial thickness between the two groups in the follow-ups 3 months,6 months and 12 months after(P<005). The recurrence rate in the observation group(233 %) was lower than that in the control group(1860 %) in 12 months follow-ups and the difference was statistically significant(P<005). The incidence of adverse reactions was significantly lower in the observation group (465 %) than that in the control group(2558 %) (P<005). ConclusionTCRP postoperative placement of Mirena is better than taking Duphaston. Mirena can prevent EP recurrence, reduce adverse reactions, thus is worthy to promote in the use of clinical.

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更新日期/Last Update: 2017-03-25