摘要
目的探讨宫腔镜诊治子宫内膜腺肌瘤性息肉的临床应用。方法分析42例子宫内膜腺肌瘤性息肉患者的诊治及预后。结果诊断子宫内膜腺肌瘤性息肉的敏感度宫腔镜检查57.14%,B超35.71%,二者差异有显著性(P<0.05)。误诊为子宫黏膜下肌瘤率宫腔镜检查42.86%,B超47.62%,二者差异无显著性(P>0.05)。全部患者均行宫腔镜子宫内膜息肉切除术,术后随访1~10年,无任何病例复发。5例非典型息肉样腺肌瘤患者预后良好。结论宫腔镜是诊治子宫内膜腺肌瘤性息肉的最好方法;非典型息肉样腺肌瘤患者,必要时术后辅以高效孕酮治疗。
[Objective] To investigate the clinical diagnosis and treatment of adenomyomatous endometrial polyp by hysteroscope. [Methods] Clinical data of 42 patients with adenomyomatous endometrial polyp were analyzed. [Results] All cases underwent hysteroscopy and B ultrasound before operation. The sensitivity was 57.14% and 35.71%, respectively. They showed significant difference (P〈0.05). The false diagnosis rate of uterine submucous myoma was 42,86% and 47.62% respectively. They showed no significant difference (P〉0.05). All cases were followed up after transcervical resection of polyp (TCRP) from 1 year to 10 years. No recurrence after operation was observed. 5 cases with atypical polypoid adenomyoma of uterus had good prognosis. [Conclusion] The data suggests that hysteroscopy and TCRP is the best choice for adenomyomatous endometrial polyp. The assistant progesterone treatment is sometimes necessary for patients with atypical polypoid adenomyoma after operation.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第3期263-265,共3页
China Journal of Endoscopy