论文部分内容阅读
目的提高临床医生对子宫内膜息肉的发病机制、临床特征、诊治方法及术后复发防治的认识。方法回顾性总结分析我院2010年4月-2011年4月575例经宫腔镜诊治并经病理检查确诊的575例子宫内膜息肉患者的临床资料。结果 575例患者因异常阴道出血就诊者345例,占60%;全部患者均行宫腔镜诊治术及病理检查,其中功能性息肉159例,占27.7%;非功能性息肉375例,65.2%;腺肌瘤型息肉38例,6.6%;子宫内膜样腺癌2例,0.34%;浆液性腺癌1例,0.17%;528例进行了随访,35例患者术后复发,有效率为93.4%,复发率为6.6%。结论子宫内膜息肉的发生可能与多种因素特别是与雌激素水平过高有关;可引起女性不规则阴道流血、腹痛、不孕等,还可能出现恶变;宫腔镜加活检是EMP诊断的金标准;目前首选的治疗方法是宫腔镜下子宫内膜息肉电切术(TCRP):针对子宫内膜息肉的复发分别选用孕激素、左炔诺孕酮宫内缓释系统(LNG-IUS)等多种方法。
Objective To improve clinicians’ understanding of the pathogenesis, clinical features, diagnosis and treatment of endometrial polyps and the prevention and treatment of postoperative recurrence. Methods The clinical data of 575 cases of endometrial polyps confirmed by hysteroscopy in our hospital from April 2010 to April 2011 were retrospectively analyzed. Results Among the 575 patients, 345 were diagnosed with vaginal bleeding, accounting for 60%. All patients underwent hysteroscopy and pathological examination, of which 159 were functional polyp (27.7%), non-functional polyp (375 cases, 65.2%), Adenomyoma polyp in 38 cases, 6.6%; endometrial adenocarcinoma in 2 cases, 0.34%; serous adenocarcinoma in 1 case, 0.17%; 528 cases were followed up, 35 patients relapsed after surgery, the effective rate was 93.4% , The recurrence rate was 6.6%. Conclusions The occurrence of endometrial polyps may be related to a variety of factors, especially estrogen levels; may cause irregular vaginal bleeding in women, abdominal pain, infertility, may also be malignant; hysteroscopy plus biopsy is EMP diagnosis Gold standard; the preferred treatment is hysteroscopic endometrial polyps resection (TCRP): the recurrence of endometrial polyps were selected progesterone, levonorgestrel intrauterine release system (LNG-IUS ) And other methods.