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目的:探讨子宫内膜腺肌瘤样息肉患者的临床特征。方法:回顾性分析济宁医学院附属滕州市中心人民医院2018年1月至2020年12月因子宫内膜息肉行宫腔镜手术治疗346例患者的临床资料，其中子宫内膜腺肌瘤样息肉患者45例（占1.3%，观察组），普通子宫内膜息肉301例（对照组）。观察两组患者一般情况、术中情况、术后病理结果及随访情况。采用n t检验、n χ2检验或Fisher确切概率法进行比较。n 结果:观察组年龄［（48.93±11.01）岁比（43.05±9.96）岁，n P=0.002）］、绝经人数［22.2%（10/45）比7.6%（23/301），n P=0.005）］、单发息肉例数［（93.3%（42/45）比54.8%（165/301），n P<0.001）］、息肉直径［（3.06±1.56）cm比（1.58±0.92）cm，n P<0.001）］、体质量指数［（25.47±3.23）kg/mn 2比（24.30±3.34）kg/mn 2，n P=0.031）］及肥胖例数［40.0%（18/45）比16.6%（50/301），n P<0.001）］均高于对照组。观察组术后组织病理学提示3例合并子宫内膜病变，随访复发2例，均为子宫腺肌瘤样息肉。n 结论:子宫内膜腺肌瘤样息肉患者年龄偏大，肥胖患者多，患有息肉较大且单发居多，需警惕子宫内膜病变及复发风险，术后应该随访。“,”Objective:To investigate the clinical features of endometrial adenomyomatoid polyps.Methods:The clinical data of 346 patients who underwent hysteroscopic surgery for endometrial polyps in Tengzhou Central People\'s Hospital from January 2018 to December 2020 were retrospectively analyzed. Among them, 45 patients with endometrial adenomyomatous polyps, accounting for 1.3%, were set as an observation group. The rest 301 cases of common endometrial polyp were set as a control group. The general conditions, intraoperative conditions, postoperative pathological results, and follow-up status were observed in both groups. n t test, n χ2 test, and Fisher\'s test were used for the comparison.n Results:The age, menopause rate, incidence of single polyp, polyp diameter, body mass index, and obesity rate in the observation group were higher than those in the control group [(48.93±11.01) vs. (43.05±9.96), n P=0.002; 22.2% (10/45) vs. 7.6% (23/301), n P=0.005; 93.3% (42/45) vs. 54.8% (165/301), n P<0.001; (3.06±1.56) cm vs. (1.58±0.92) cm,n P<0.001; (25.47±3.23) kg/mn 2 vs. (24.30±3.34) kg/mn 2, n P=0.031; and 40.0% (18/45) vs. 16.6% (50/301), n P<0.001]. Postoperative histopathology showed that 3 cases in the observation group were complicated with endometrial lesions, and 2 cases had recurrence during follow-up, and all of which were adenomyomatoid polyps.n Conclusions:Endometrial adenomyomatoid polyp patients are older and obese, with large polyps, and most of them have single polyps. Therefore, we should be vigilant about the risk of endometrial lesions and recurrence, and postoperative follow-up should be conducted.