IUD与子宫内膜息肉相关性的研究

Relevant relationship between IUD and endometrial polypus

目的：研究宫内节育器（intrauterus device，IUD）与子宫内膜息肉的相关性。方法：统计2004年5月～2007年5月在厦门大学附属中山医院行宫腔镜取环并经病理检查确诊IUD合并子宫内膜息肉病例，分析IUD与子宫内膜息肉的相关敏感因素。结果：1357例宫腔镜取环者IUD合并子宫内膜息肉285例，占21％，患者对金属皮带扣或金饰物过敏，经阴道分娩和人工流产且中位子宫患者的发病率较高，息肉好发于IUD的周围。放环时间15年以上，IUD变形、下移和长锈斑的比例均较高。结论：放置IUD且有息肉形成高危因素的患者应及时行宫腔镜检查，并行诊刮术或子宫内膜息肉电切术、取环术。

Objective：To study relevant relationship between IUD and endometrial polyps（EMP）. Methods ：The cases who removed IUD and EMP by hysteroscopic operation and diagnosed by pathological examination were analyzed in Xiamen Zhongshan Hoapital from may 2004 to may 2007, and the related factors of IUD and EMP were analyzed. Results：Of 1357 cases who removed IUD by hysteroscopic operation, the cases who had EMP was 21% （285/ 1357）. EMP growed around IUD in cases whose uteri were middle position. Vaginal labor and artificial abortion and allergic to metal including the metal buckle and gold ornaments were high risk factors. Conclusion ： The cases with IUD who had risk factors of endometrial polypus formation need,do hysteroseopic operation and remove IUD.