黄体酮联合宫腔镜刨削系统治疗子宫内膜息肉不孕症患者的临床疗效

doi:10.3969/j.issn.1671-7171.2022.06.014

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1119 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To investigate the clinical effect of progesterone combined with hysteroscopic planing system (IBS) in the treatment of infertility patients with endometrial polyps. 【Methods】A total of 92 infertile patients with endometrial polyps diagnosed and treated in Xi'an Fourth Hospital from August 2019 to June 2021 were randomly divided into control group (treated with progesterone combined with common bipolar hysteroscopic electrotomy system) and observation group (treated with progesterone combined with hysteroscopic IBS),with 46 cases in each group. The operation time,total amount and absorption of perfusion media,clinical efficacy,recurrence of endometrial polyps,pregnancy,menstrual cycle,menstrual volume and endometrial thickness before and after treatment were compared between the two groups. 【Results】The operation time in the observation group was shorter than that in the control group (P<0.05). The total amount of perfusion medium and the absorption of perfusion medium in the control group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference in menstrual cycle,menstrual volume and endometrial thickness between the two groups (P>0.05); After treatment,the menstrual cycle,menstrual volume and endometrial thickness of the two groups were less than those before treatment (P<0.05),and the menstrual cycle,menstrual volume and endometrial thickness of the observation group were less than those of the control group (P<0.05). The total effective rate of the observation group was higher than that of the control group,the recurrence rate was lower than that of the control group,and the pregnancy rate was higher than that of the control group. The difference was statistically significant (P<0.05). 【Conclusion】Progesterone combined with hysteroscopic IBS in the treatment of endometrial polyp infertility can shorten the operation time,reduce the total amount and absorption of perfusion media,regulate the menstrual cycle and menstrual volume,reduce the endometrial thickness and recurrence rate,and improve the clinical efficacy and pregnancy rate. It is worthy of clinical application.

Key words： Infertility, Female Endometrial Neoplasms/SU Polyps/SU Hysteroscopy

Received: 26 November 2021

PACS:

R711.6

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Wei
	LIU Li

Cite this article:

CHEN Wei,LIU Li. Clinical Efficacy of Progesterone Combined with Hysteroscopic Planing System in the Treatment of Infertility Patients with Endometrial Polyps[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(6): 851-854.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.06.014 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I6/851

[1] MUNRO M G. Uterine polyps,adenomyosis,leiomyomas,and endometrial receptivity[J].Fertil Steril,2019,111(4):629-640.
[2] 张丽娟. 宫腔镜手术治疗子宫内膜息肉不孕症患者的临床疗效分析[J].川北医学院学报,2019,34(6):763-766.
[3] LIN S,XIE X,GUO Y,et al. Clinical characteristics and pregnancy outcomes of infertile patients with endometriosis and endometrial polyps:A retrospective cohort study[J].Taiwan J Obstet Gynecol,2020,59(6):916-921.
[4] 周宏霞,张荣善,聂银梅. 宫腔镜下子宫内膜息肉刨削术治疗子宫内膜息肉效果观察[J].中国保健营养,2020,30(17):61-63.
[5] 石一复,郝敏. 子宫体疾病[M].北京:人民军医出版社,2011:52-53.
[6] 郭丹. 临床妇产科诊疗学[M]. 天津:天津科学技术出版社,2013:37-38.
[7] 蔡健,林秀盈,郑柳婷. PTEN,p63在子宫内膜息肉中表达的研究[J].中国妇幼健康研究,2020,31(2):281-284.
[8] ZHANG H,HE X,TIAN W,et al. Hysteroscopic resection of endometrial polyps and assisted reproductive technology pregnancy outcomes compared with no treatment:a systematic review[J].J Minim Invasive Gynecol,2019,26(4):618-627.
[9] 丁堪铄,熊文雯,沈庆君,等. 不同宫腔镜手术方式治疗子宫内膜息肉的疗效比较[J].实用医学杂志,2019,35(3):416-419.
[10] 施君,金悦,叶婧,等. 新型宫腔镜刨削系统治疗育龄女性子宫内膜息肉和黏膜下肌瘤的临床分析[J].实用妇产科杂志,2019,35(7):509-513.
[11] YIN X,CHENG J,ANSARI S H,et al. Hysteroscopic tissue removal systems for the treatment of intrauterine pathology:a systematic review and meta-analysis[J].Facts Views Vis Obgyn,2018,10(4):207-213.
[12] 牟大英,黄露,何德斌. IBS宫腔镜刨削系统在未破裂型宫角妊娠治疗中的临床应用研究[J].现代医药卫生,2019,35(23):3664-3666.
[13] YANG Y B,GOSHTASEBI A,VAN LIEROP A H,et al. Effects of progesterone therapy on serum sclerostin levels in healthy menopausal women:a 3-month randomized,placebo-controlled clinical trial[J].Osteoporos Int,2020,31(11):2243-2250.
[14] 王小艳,李权,李黎,等. 黄体酮软胶囊联合官腔镜电切术治疗子宫内膜息肉不孕症的临床研究[J].中国临床药理学杂志,2019,35(23):3035-3037.