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子宫腺肌症内膜电切术后辅助应用孕激素临床观察

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摘要 目的观察子宫腺肌症内膜电切术(TCRE)后辅助应用甲羟孕酮治疗的临床疗效。方法将在我院确诊的子宫腺肌症患者50例,随即分为治疗组和对照组,治疗组25例,行宫腔镜子宫内膜电切手术,术后给予甲羟孕酮;对照组25例,行相同的手术治疗术后不给辅助治疗。观察两组术后6、12个月的症状、体征缓解率及患者满意率,术后12个月两组的复发率。结果6、12个月两组症状、体征缓解率有显著差异,P<0.05;患者满意率有显著差异P<0.05;术后12个月两组的复发率有显著差异P<0.01。治疗组3例分别于术后2个月、3个月出现轻度肝功能异常,经保肝治疗后恢复。11例有恶心、纳差,经对症处理后缓解。结论子宫腺肌症子宫内膜电切术联合甲羟孕酮治疗,复发率低,疗效显著,值得临床推广。
作者 郭新平
出处 《中国现代医药杂志》 2007年第6期45-46,共2页 Modern Medicine Journal of China
基金 河南省教育厅资助项目 编号200510472030
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