Research on the Subject of Health Care Supervision / 中国医院管理

Clarifying the subjects and their responsibility is a premise of effective supervision in health care field.While there are many problems in China,such as decentralized functions,unclear positioning and lack of professionalism.Moreover,the responsibility of health insurance and professional associations is inadequate.Therefore targeted reforms are called in the following session.

Clinical observation of the effect of levonorgestrel-releasing intrauterine system(LNG-IUD) on pre-venting recurrence after hysteroscopic resection of endometrial polyps / 上海预防医学

To evaluate the clinical effect of LNG-IUD on preventing recurrence after hysteroscopic resection of endometrial polyps . [ Methods] Electrical excision of endometrial polyps with the help of hysteroscopy was performed for 120 patients, who were randomly divided into trial group ( levonorgestrel-releasing intrauterine system after surgery ) and control group ( without any treatment after surgery), with 60 patients in each group.After follow-up of 4 years, the recurrence of endometrial polyps was observed in the two groups . [ Results] The recurrence rate of trial group was 1.6%,and that of control group was 15.0%.There was significant difference in recurrence between the two groups ( P<0. 05 ) . [ Conclusion] The hysteroscopy can be used for more definite diagnosis and treatment of endome-trial polyps .And there has been a significantly positive effect of LNG-IUD proved on preventing recurrence after hysteroscopic resection of endometrial polyps .