70例子宫内膜息肉的临床及病理特点研究

Clinical study of 70 cases of endometrial polyp pathology

目的：对子宫内膜息肉的临床病理变化进行分析研究。方法回顾性分析2012年3月至2013年4月广州新海医院妇科收治的70例宫腔镜检查并行宫腔内占位病变切除术，术后病理诊断为子宫内膜息肉患者的临床发病规律、临床症状、病理结果，同时对其进行随访，分析子宫内膜息肉复发率。结果（1）本组70例患者年龄为30~61岁，平均年龄（41.3±5.6）岁；（2）临床上多表现为不规则月经（72.86%），绝经后出血（15.71%）和子宫内膜增厚（21.43%）；（3）发病部位依次为子宫底部（62.86%）、宫角部（17.14%）、子宫后壁（10.00%）、子宫前壁（5.17%）和侧壁（4.29%）；（4）病理检查结果提示功能性子宫息肉患者其病灶多质软、体积小，息肉组织与周围内膜相近，存在周期性变化，而非功能性子宫息肉患者其患部多质硬、体积大，息肉组织呈现出多种形态变化；（5）非功能性子宫内膜息肉的复发率较功能性子宫内膜息肉的复发率高（23.9%vs 8.3%）。结论子宫内膜息肉组织形态变化较多，这提示医护人员应该通过对子宫内膜息肉的病理类型进行分析，针对性的进行治疗，减少复发率。

Objective The clinical and pathological changes of endometrial polyps were analyzed.Method Retrospective analysis performed from 2012 March to 2013 April on 70 patients with endometrialpolyps Guangzhou Xinhai hospital clinical onset law, clinical symptoms, pathological changes and clinicaldiagnostics. Results(1) The group of 70 patients more concentrated between 30 to 61 years, average age(41.3±5.6)(2)The clinical manifestations of irregular menstruation, endometrial thickening;(3)The incidencesites were at the bottom of the uterus(62.86%), the corners(17.14%), the posterior wall of the uterus(10.00%), uterine front(5.17%)and side walls(4.29%);(4)Functional and non-functional uterine polypsuterine polyps of the points on the existence of pathology. Conclusions Clinical endometrial polyps orirregular menstrual bleeding and more health care workers should be early diagnosis of uterine polyps bypathological examination.