论文部分内容阅读
目的:分析宫腔镜诊治子宫内膜息肉临床效果。方法:宫腔镜诊治子宫内膜息肉诊断明确,并可定位取活检送病理,根据病理结果或病情决定手术方案,在排除子宫内膜癌后,单发的、小的息肉就可在宫腔镜直视下摘除病灶,而对于多发病灶、年轻且要求生育的病人可以行全面的刮宫,刮宫后再放入宫腔镜判断刮宫效果。但刮宫治疗子宫内膜息肉复发率高,故对于无生育要求的病人可行宫腔镜下子宫内膜电切术,这样既可以治疗彻底,又保留子宫的完整性。结果:自2004年4月～2008年9月我院行宫腔镜检查603例,确诊为子宫内膜息肉36例,占6%,同时行宫腔镜下摘除术,无并发症发生。结论:宫腔镜诊断子宫内膜息肉准确率高、创伤小,并能同时进行治疗,取得满意疗效。
Objective: To analyze the clinical effect of hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods: Hysteroscopic diagnosis and treatment of endometrial polyps diagnosis is clear, and biopsy can be sent to locate the pathology, according to the pathological findings or disease determine the surgical plan, in the exclusion of endometrial cancer, single, small polyps can be in the uterine cavity Mirror under the removal of lesions, and for multiple lesions, young and require fertility patients can be a comprehensive curettage, curettage and then into the hysteroscope to determine the curettage effect. But curettage of endometrial polyps recurrence rate is high, so for patients without fertility requirements hysteroscopic endometrial resection, so that both can be treated thoroughly, but also to preserve the integrity of the uterus. Results: From April 2004 to September 2008 our hospital hysteroscopy 603 cases diagnosed as endometrial polyps in 36 cases, accounting for 6%, while hysteroscopic removal without complications. Conclusion: Hysteroscopy diagnosis of endometrial polyps with high accuracy, less trauma, and can be treated at the same time, and achieved satisfactory results.