经宫腔镜治疗子宫内膜息肉86例临床分析

Clinical study of hysteroscopic surgery for endometrial polyps

目的探讨利用宫腔镜治疗子宫内膜息肉的临床价值。方法回顾性分析86例子宫内膜息肉患者，采用不同的宫腔镜手术方式治疗，并平均随访（18±6）个月。结果86例中，有月经改变53例，术后治愈48例，无效5例；痛经20例，有效16例，无效4例；继发贫血22例，治愈18例，好转4例。不孕症9例，治愈7例。结论对不同年龄段的EP患者官腔镜下采用不同手术方式均取得较好疗效，值得I临床推广应用。

Objective To determine the clinical valuation of different ways of hysteroscopic surgery for endometrial polyps. Methods Clinical effects were analysed retrospectively on total 86 patients underwent different ways of hysteroscopic surgery according to women physiological stages,the desire of fertility and clinical symptoms, the mean followed-up duration was （18 ± 6） months. Results Among 86 cases, after polyps resected. In 53 cases menstrual change,48 cases were cured,5 cases were invalid. In 20 cases dysmenorrhea, 16 cases were valid, 4 cases were invalid. In 22 cases secondary anemia, 18 cases were cured,4 cases recovered. Conclusions Fertile stage： uterine curettage should be undergone for patients without menstrual change after polyps resected;among patients with menstrual change,whole layer of endometria were resected for the ones（more than 40 ages） without desire of fertility and superficial layer of endometria were resected for the others after polyps resected. Perimenopause：uterine curettage should be undergone for patients without menstrual change and whole layer of endometria were resected for patients with menstrual change after polyps resected. Postmenopause：uterine curettage should be undergone for patients without vaginal bleeding and endometria ablation should be carried out for patients with vaginal bleeding.