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目的评估宫腔镜对子宫内膜息肉的诊断及治疗价值。方法总结145例因异常子宫出血经宫腔镜检查诊断为子宫内膜息肉的患者行宫腔镜下子宫内膜息肉电切术,术后全部进行病理检查。结果 145例患者中130例与病理符合,符合率为89.6%,1例合并鳞状细胞癌,4例病理证实为子宫内膜轻度非典型增生。结论宫腔镜结合病理检查可提高子宫内膜息肉的诊断率,宫腔镜手术治疗子宫内膜息肉疗效确切,复发率低,对子宫内膜癌倾向及早期子宫内膜癌可及时发现并指导治疗。
Objective To evaluate the value of hysteroscopy in the diagnosis and treatment of endometrial polyps. METHODS: A total of 145 patients with endometrial polyps diagnosed by hysteroscopy were diagnosed with hysteroscopic endometrial polypectomy. All postoperative pathological examinations were performed. Results Among the 145 patients, 130 were consistent with pathology, the coincidence rate was 89.6%, 1 was complicated with squamous cell carcinoma, and 4 was pathologically confirmed as mild dysplasia of the endometrium. Conclusion Hysteroscopy combined with pathological examination can improve the diagnostic rate of endometrial polyps. Hysteroscopic surgery is effective in the treatment of endometrial polyps. The recurrence rate is low. The tendency of endometrial cancer and early endometrial cancer can be detected and instructed in time. treatment.