朱晓燕

【摘要】目的：左炔诺孕酮宫内节育系统对子宫内膜息肉复发率影响。方法：选取我院手术切除治疗的子宫内膜息肉患者，分为实验组和对照组。实验组给予左炔诺孕酮宫内节育系统（曼月乐环），对照组给予地屈孕酮片，比较两组患者子宫内膜息肉复发率。结果：比较两组患者治疗前在子宫内膜厚度和经期情况（P>0.05），差异无统计学意义。实验组患者术后6个月和术后1年子宫内膜厚度均比对照组薄（P<0.05），差异有统计学意义；实验组术后月经周期比对照组短（P>0.05），差异无统计学意义。实验组术后经期比对照组短，实验组经量比对照组少（P<0.05），差异有统计学意义。两组患者子宫内膜息肉复发率比较，实验组子宫内膜息肉复发率低于对照组（P<0.05），差异有统计学意义。实验组血红蛋白水平高于对照组（P<0.05），差异有统计学意义。结论：对子宫内膜息肉患者在手术治疗基础上联合左炔诺孕酮宫内节育系统，可以更好地促进患者月经激素水平恢复，降低子宫内膜息肉复发。

【关键词】子宫内膜息肉；左炔诺孕酮；宫内节育系统；复发率

Effect of levonorgestrel intrauterine device system on the recurrence rate of endometrial polyps

ZHU Xiaoyan

Lianyungang Maternal and Child Health Hospital， Lianyungang， Jiangsu 222000， China

【Abstract】Objective： The effect of levonorgestrel intrauterine birth system on the recurrence rate of endometrial polyps. Methods： Patients with endometrial polyps treated by surgical resection in our hospital were selected and divided into experimental group and control group. The experimental group received levonorgestrel intrauterine system （moon ring）， and the control group received didecoprogestone tablets to compare the recurrence rate of endometrial polyps in group 2. Results： Comparing the endometrial thickness and period in the two groups before treatment（P>0.05） was insignificant. For the endometrial thickness 6 months and 1 year after the operation（P<0.05）， the postoperative menstrual period was shorter than the control group（P>0.05）. The postoperative period of the experimental group was shorter than the control group， and the menstruation period of the experimental group was less than the control group（P<0.05）， which showed a statistically significant difference. Comparing the recurrence rate of endometrial polyps in the two groups， the recurrence rate of endometrial polyps in the experimental group was lower than that in the control group（P<0.05）， showing a statistically significant difference. The hemoglobin level was higher than that of the control group（P<0.05）， which showed a statistically significant difference. Conclusion： Levonorgestrel intrauterine control system in patients with endometrial polyps can better promote the recovery of menstrual hormone levels and reduce the recurrence of endometrial polyps.

【Key Words】Endometrial polyps； Levonorgestrel； Intrauterine birth system； Recurrence rate

子宮内膜息肉是妇产科比较常见的一种瘤样病变类型，会导致患者出现月经量增多，不孕、不规律出血等症状，临床针对子宫内膜息肉患者主要通过阴道超声、子宫超声显像进行诊断[1]。目前针对子宫内膜息肉患者比较有效的治疗方案是手术切除治疗，疾病形态多样化，复发率较高，对于患者的生育功能和生活质量均造成了严重的干扰[2]。但是在手术治疗过程中，存在病灶组织清除不完整现象，疾病症状无法彻底缓解的缺点，复发率较高，因此术后还是需要联合药物进行辅助性治疗，需要探究辅助药物的应用效果[3]。本文将对比左炔诺孕酮宫内节育系统和地屈孕酮片治疗效果优化程度。

1 资料与方法

1.1 一般资料

选取2021年3月—2023年3月我院手术切除治疗的100例子宫内膜息肉患者，随机分为实验组和对照组，实验组给予左炔诺孕酮宫内节育系统（曼月乐环），对照组给予地屈孕酮片。实验……