发育医学电子杂志 Vol. 9 467-470 DOI: 10.3969/j.issn.2095-5340.2021.06.013
围产医学
综述
｜产科
左炔诺孕酮宫内缓释系统防治子宫内膜 息肉术后复发的研究进展
杨雪 谭世桥 罗利
1. 华西第四医院 四川大学华西公共卫生学院 妇科，四 川 成都 610041；2. 四川大学华西第二医院 出生缺陷与相关妇儿疾病教育部重 点实验室 生殖内分泌科，四川 成都 610041
Research advances of levonorgestrel intrauterine system in preventing recurrence of endometrial polyps after resection
Yang Xue, Tan Shiqiao, Luo Li
摘要 子宫内膜息肉（endometrial polyp，EP）是子 宫内膜局部过度增生产生数量不一、直径不等的 赘生物的统一概述，常见于育龄期、围绝经期女 性。根据不同地域及群体的研究报道，其发病率在 7.8% ～ 34.9%［1-2］ 。遗传、炎症及激素等均可致病， 其临床表现特异性稍低，绝大多数患者有月经改变 或异常子宫出血。随疾病持续进展，可使孕育受限， 甚至有引发癌变的可能。阴道超声是最常用的检 查方法，宫腔镜探查可明确诊断。因其发病机制不 明，药物治疗效果不确切，临床上一般>1 cm 尤其 伴有症状的息肉，建议手术。宫腔镜手术是诊治的 金标准［3］ ，但术后复发率居高不下，通常辅助应用 药物预防复发。
关键词:
子宫内膜息肉')" href="#">子宫内膜息肉
左炔诺孕酮')" href="#">左炔诺孕酮
宫腔镜')" href="#">宫腔镜
收稿日期: 2020-11-04
发布日期: 2021-11-30
基金资助: 四川省科技厅重点研发项目（2017SZ0196）
通讯作者:
罗利
E-mail: feigagasmile@163.com
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