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目的 评价宫腔镜诊断和处理子宫内膜息肉的价值。方法 对经宫腔镜检查诊断的 6 0例子宫内膜息肉样病变患者进行回顾性分析。结果 6 0例中 5 5例与病理诊断符合 ,符合率为 91 .7% ;1例病理诊断为子宫内膜息肉恶变 ,另外 4例病理证实为子宫内膜癌。结论 子宫内膜息肉的临床特征以不规则阴道出血为主 ,绝经期则以绝经后出血为主 ,宫腔镜对诊断和治疗子宫内膜息肉具有较高的临床价值 ,同时应警惕隐匿的恶性病变及息肉恶变。
Objective To evaluate the value of hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods Totally 60 cases of endometrial polypoid lesions diagnosed by hysteroscopy were retrospectively analyzed. Results Fifty-five cases of 60 cases were consistent with pathological diagnosis, the coincidence rate was 91.7%. One case was pathologically diagnosed as malignant endometrial polyps and the other 4 cases were confirmed as endometrial carcinoma. Conclusions The clinical features of endometrial polyps are mainly irregular vaginal bleeding. The main postmenopausal bleeding is menopause. Hysteroscopy has high clinical value in the diagnosis and treatment of endometrial polyps. At the same time, we should guard against the occult malignancy Lesions and malignant polyps.