2023年4月第30卷第4期宫腔镜下电切术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的效果探讨崔素素，毕玉洁（新郑市公立人民医院妇科，河南新郑451100）【摘要】目的探讨宫腔镜下电切术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉的临床效果。方法96例子宫内膜息肉患者随机分为两组各48例，对照组接受宫腔镜下电切术治疗，观察组接受宫腔镜下电切术联合左炔诺孕酮宫内缓释系统治疗，比较两组的临床疗效、不良反应发生率及复发率。结果观察组的治疗总有效率为93．75％，显著高于对照组的75．00％（P＜0．05）。观察组的不良反应发生率、复发率分别为6．25％、2．08％，均显著低于对照组的20．83％、22．92％（P＜0．05）。结论宫腔镜下电切术联合左炔诺孕酮宫内缓释系统治疗子宫内膜息肉效果显著，能明显降低不良反应发生率及复发率。【关键词】子宫内膜息肉；宫腔镜下电切术；左炔诺孕酮宫内缓释系统；临床疗效中图分类号：R711.74文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0451DiscussionontheEffectofHysteroscopicElectrotomyCombinedwithLevonorgestrelIntrauterineSustained-ReleaseSystemintheTreatmentofEndometrialPolyps//CUISusu,BIYujie(DepartmentofGynecology,XinzhengPublicPeople'sHospital,Xinzheng451100,China)[Abstract]ObjectiveToexploretheclinicaleffectofhysteroscopicelectrotomycombinedwithlevonorgestrelintrauterinesustained-releasesysteminthetreatmentofendometrialpolyps.Methods96patientswithendometrialpolypswererandomlydividedintotwogroups,with48casesineachgroup.Thecontrolgroupwastreatedwithhysteroscopicelectrotomy,andtheobservationgroupwastreatedwithhysteroscopicelectrotomycombinedwithlevonorgestrelintrauterinesustained-releasesystem.Theclinicalefficacy,incidenceofadversereactionsandrecurrenceratewerecomparedbetweenthetwogroups.ResultsThetotaleffectiverateoftreatmentintheobservationgroupwas93.75%,significantlyhigherthan75.00%inthecontrolgroup(P<0.05).Theincidenceofadversereactionsandrecurrencerateintheobservationgroupwere6.25%and2.08%respectively,significantlylowerthan20.83%and22.92%inthecontrolgroup(P<0.05).ConclusionsHysteroscopicelectrotomycombinedwithlevonorgestrelintrauterinesustained-releasesysteminthetreatmentofendome...
