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目的探讨宫腔注药联合孕激素治疗子宫内膜息肉的临床效果。方法选取子宫内膜息肉患者113例,术后随机分为2组:对照组54例,术后给予安宫黄体酮治疗3个月;治疗组59例,在月经干净3 d用地塞米松+洁霉素+糜蛋白酶+0.9%氯化钠注射液20 m l宫腔注药,共3 d,术后给予共3个月。2组随访时间为3~6个月,观察子宫内膜息肉复发情况。结果治疗组59例中治愈43例,复发7例。对照组54例中治愈48例,复发18例。两组结果治愈率差异无统计学意义(P>0.05),复发率有统计学意义(P<0.05)。结论子宫内膜息肉的患者进行宫腔注射地塞米松、洁霉素、糜蛋白酶联合孕激素治疗,此法安全可靠、痛苦小、疗效好。
Objective To investigate the clinical effect of intrauterine injection combined with progestin in the treatment of endometrial polyps. Methods A total of 113 patients with endometrial polyps were selected and randomly divided into 2 groups: control group (n = 54) and progestogen progesterone (progesterone) for 3 months postoperatively. In the treatment group, 59 cases were treated with dexamethasone + Mice + chymotrypsin + 0.9% sodium chloride injection 20 ml intrauterine injection, a total of 3 d, after giving a total of 3 months. The follow-up time of 2 groups was 3 to 6 months, and the recurrence of endometrial polyps was observed. Results In the treatment group, 43 cases were cured and 7 cases were relapsed. The control group of 54 patients were cured in 48 cases, 18 cases of recurrence. There was no significant difference in the cure rate between the two groups (P> 0.05), and the recurrence rate was statistically significant (P <0.05). Conclusion Endometrial polyps in patients with intrauterine injection of dexamethasone, lincomycin, chymase combined with progesterone treatment, this method is safe, reliable, less painful, good effect.