CAJ | 학술논문

　　目的：观察不同治疗方法对子宫内膜息肉的临床效果及减少其复发的有效措施。方法：选择107例子宫内膜息肉患者，随机分为三组，A组35例行宫腔镜定位息肉摘除术，B组36例行单纯宫腔镜电切术，C组36例行宫腔镜电切术加术后短期服用小剂量米非司酮，观察各组疗效及复发情况。结果：三组术后3、6、12个月月经量均较术前明显减少，组间同时间月经量比较，差异有统计学意义（P<0.05）。C组术后6个月、12个月的月经量均小于A、B两组。复发率则A组最高，C组最低，组间比较差异有统计学意义（P<0.05）。结论：宫腔镜电切术是治疗子宫内膜息肉最有效的方法，术后加用米非司酮可抑制子宫内膜的增生及子宫内膜息肉的形成，降低子宫内膜息肉的复发率。
　　목적：관찰불동치료방법대자궁내막식육적림상효과급감소기복발적유효조시。방법：선택107례자궁내막식육환자，수궤분위삼조，A조35례행궁강경정위식육적제술，B조36례행단순궁강경전절술，C조36례행궁강경전절술가술후단기복용소제량미비사동，관찰각조료효급복발정황。결과：삼조술후3、6、12개월월경량균교술전명현감소，조간동시간월경량비교，차이유통계학의의（P<0.05）。C조술후6개월、12개월적월경량균소우A、B량조。복발솔칙A조최고，C조최저，조간비교차이유통계학의의（P<0.05）。결론：궁강경전절술시치료자궁내막식육최유효적방법，술후가용미비사동가억제자궁내막적증생급자궁내막식육적형성，강저자궁내막식육적복발솔。
Objective:To observe different treatment of endometrial polyps clinical effect and the effective measures to reduce its recurrence. Method:107 cases patients with intrauterine membrane polyp were selected and randomly divided into 3 groups,35 cases of group A was given hysteroscopic localization polyps enucleation,36 cases of group B was given hysteroscope electrotomy alone,36 cases of group C was given hysteroscope electrotomy with short-term after taking small doses of mifepristone,observed the curative effect and recurrence.Result:Three groups of postoperative 3,6, 12 months before menstrual quantity were also decreased significantly(P<0.05),between groups at the same time in menstrual quantity,the difference was statistically significant(P<0.05).In group C after 6 months,12 months of menstrual quantity is less than A,B two groups.Recurrence rates in group comparison are highest in group A,Lowest in group C(P<0.05).Conclusion:Hysteroscope electrotomy is the most effective way to treatment of endometrial polyps,postoperative combined with mifepristone may inhibit the formation of endometrial hyperplasia and endometrial polyps,reduce the recurrence of endometrial polyp.