宫腔镜治疗子宫内膜息肉的临床分析

Treatment of Endometrial Polyps with Hysteroscopy

为探讨宫腔镜治疗子宫内膜息肉 (endometrialpolyp ,EP)的临床效果和手术的安全性 ,回顾性分析 2 0 0 1年1 1月至 2 0 0 2年 8月 ,在北京复兴医院宫腔镜中心门诊宫腔镜检查可疑EP并入院行子宫内膜息肉切除术 (transcervi calresectionofpolyp ,TCRP)的 1 0 8例患者的临床资料。结果 :全部手术均 1次完成 ,无手术并发症 ,病理报告EP符合者 98例 ,宫腔镜诊断与病理结果的符合率 90 .7%。术后随访 90例 ,EP所致月经增多者 84%症状改善 ,子宫不规则出血者 1 0 0 %症状改善 ,原发不孕者 2 6%术后妊娠成功。提示 :TCRP是治疗由于EP致月经紊乱 ,子宫不规则出血的安全有效的方法。TCRP术可发现非典型增生的EP及子宫内膜癌前病变 ,给予早期干预及治疗 ,积极预防子宫内膜癌。无症状的息肉患者 ,尤其是不孕症患者也应首选TCRP。

The aim was to evaluate the effectiveness and the safety of treatment of endometrial polyps(EP) by hysteroscopy. Retrospectively 108 cases were analysed hysteroscopy scan and transcervical resection of polyp(TCRP) between November 2001 and August 2002 at our center. All operations were performed successfully in one time, with no complications occurred. 98 cases were diagnosed EP by pathological report. The coincidence rate of the hysteroscopic diagnosis and the pathological diagnosis was 90.7%. 90 cases were followed up, 84% cases recovered from menorrhagia, 100% cases recovered from metrorrhagia, 26% primary infertility cases pregnancy successfully after operations. The results indicate that TCRP is the effective and safe way to treat menorrhagia and metrorrhagia caused by EP. TCRP can find out atypical hyperplasia of EP and precancerous lesion, then treat them at earlier period. TCRP is also the first selection to symptomless cases of EP, especially infertility patients.