112例子宫内膜息肉诊治的临床分析

目的总结112例子宫内膜息肉的临床特点,探讨其临床诊断、治疗特点及预后。方法回顾性分析本院2004年5月至2008年8月收治的112例经宫腔镜检查加病理确诊子宫内膜息肉患者的临床资料,治疗采用宫腔镜下息肉摘除术。结果 112例患者中异常子宫出血80例(71.42%),无月经改变32例(28.58%)。超声提示宫腔内不均质占位92例(82.14%),子宫内膜增厚20例(17.86%)。合并不孕20例(17.86%),合并黏膜下肌瘤29例(25.89%)。手术时间(18.65±5.76)min,术中出血(17.50±4.10)mL。术后月经恢复90例(80.35%),妊娠35例(31.25%)。结论子宫内膜息肉是宫腔内常见的一种良性病变,宫腔镜联合超声是诊断子宫内膜息肉的有效方法 ,宫腔镜下子宫内膜息肉电切术是治疗子宫内膜息肉的有效手段。

Objective To investigate the clinic value of hysteroscopic diagnosis and treatment of endometrial polyps combined with ultrasound.Methods Retrospective study was done on 112 cases of endometrial polyps.Results 80 cases were abnormal uterine bleeding（（71.42%）,32 cases were normal menstruation（28.58%）92 cases were uterine cavity mass（82.14%）,11 cases were endometrum incrassation（9.82%）.20 cases were infertility（17.85%）,29 cases were submucous myoma（25.89%）.The mean operating time was（18.65±5.76）min,the blood loss was（17.50±4.10）mL.Conclusion Endometrial polyps is uterine cavity disease.Hysteroscopic diagnosis and treatment of endometrial polyps combined with B ultrasound monitoring are efficiency.Transcervical resection of polyp（TCRP）can improve abnormal uterine bleeding and fecundity.