Volume 20 Issue 2
Feb.  2022
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YU Ping-zhi, LI Fei-fei. Clinical effect of endometrial polyps treated by hysteroscopic surgery combined with natural progesterone[J]. Chinese Journal of General Practice, 2022, 20(2): 267-269. doi: 10.16766/j.cnki.issn.1674-4152.002329
Citation: YU Ping-zhi, LI Fei-fei. Clinical effect of endometrial polyps treated by hysteroscopic surgery combined with natural progesterone[J]. Chinese Journal of General Practice, 2022, 20(2): 267-269. doi: 10.16766/j.cnki.issn.1674-4152.002329

Clinical effect of endometrial polyps treated by hysteroscopic surgery combined with natural progesterone

doi: 10.16766/j.cnki.issn.1674-4152.002329
Funds:

 KJ2018ZD018

  • Received Date: 2021-08-15
    Available Online: 2022-03-04
  •   Objective  To investigate the clinical effect of endometrial polyps treated by hysteroscopic surgery combined with natural progesterone.  Methods  Seventy cases of endometrial polyps admitted to the Third People's Hospital of Hefei from March 2019 to March 2020 were selected. According to the admitted time, they were divided into control group and observation group, with 35 cases in each group. The control group was treated with hysteroscopic endometrial polypectomy alone, and the observation group was treated with hysteroscopic endometrial polypectomy combined with natural progesterone. Both groups were treated with antibiotics to prevent infection, stop bleeding and correct anaemia. The therapeutic effect of the two groups was compared. The improvement of menstruation and the recurrence of endometrial polys were compared between the two groups at 12 months after surgery.  Results  No statistically significant difference in average haemoglobin value was found between the two groups before surgery (P > 0.05). At 12 months after surgery, the average haemoglobin value of the observation group was significantly higher than of the control group (t=34.552, P < 0.001). No statistically significant difference in average menstrual period was found between the two groups before surgery (P > 0.05). At 12 months after surgery, the average menstrual period of the observation group was significantly shorter than of the control group (t=4.398, P < 0.001). The recurrence rate of endometrial polyps 12 months after operation was 14.29% in the observation group and 60% in the control group. The recurrence rate of the observation group was significantly lower than that of the control group (χ2=15.664, P < 0.001).  Conclusion  The effect of hysteroscopic surgery combined with natural progesterone on endometrial polyps is better than that of hysteroscopic polypectomy alone. It is worthy of clinical promotion in gynaecology.

     

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