The effect and feasibility study of the combination of dexamethasone and hysteroscopy in the treatment of endometrial polyps
地屈孕酮联合宫腔镜治疗子宫内膜息肉的效果及可行性研究

摘要

目的 分析子宫内膜息肉患者采取地屈孕酮联合宫腔镜治疗的效果。方法 以随机数字表法将本院于2023年3月-2024年3月期间收治64例子宫内膜息肉患者分为参考组32例及实验组32例。前者行宫腔镜治疗，后者在上述基础上行地屈孕酮治疗。以月经量、月经期时间、子宫内膜息肉复发率及子宫内膜厚度。结果 实验组月经量、月经期时间、子宫内膜息肉复发率均低于参考组（P＜0.05）。实验组子宫内膜厚度低于参考组（P＜0.05）。结论 子宫内膜息肉患者采取地屈孕酮联合宫腔镜治疗效果显著，能够减少患者的月经量，缩短月经期时间，以及降低子宫内膜息肉复发率及子宫内膜厚度。此种方法值得推广。

Abstract

Objective To analyze the effect of combined treatment with dexmedetone and hysteroscopy on patients with endometrial polyps.
Methods 64 patients with endometrial polyps admitted to our hospital from March 2023 to December 2024 were selected as the study subjects. Using a random number table method, 32 cases were divided into a reference group and an experimental group. The reference group received hysteroscopy treatment, while the experimental group received dexmedetone treatment on the basis of the above. Based on menstrual volume, menstrual period time, endometrial polyp recurrence rate, and endometrial thickness.
Results The menstrual volume, menstrual period time, and recurrence rate of endometrial polyps in the experimental group were all lower than those in the reference group (P<0.05). The endometrial thickness of the experimental group was lower than that of the reference group (P<0.05).
Conclusion   The combination of dexamethasone and hysteroscopy has a significant therapeutic effect on patients with endometrial polyps, which can reduce menstrual flow, shorten menstrual period time, and lower the recurrence rate and thickness of endometrial polyps. This method is worth promoting.