宫腔镜诊治子宫内膜息肉125例临床分析

Clinical analysis of hysteroscopy in the treatment of 125 patient with endometrial polyps

目的通过比较经阴道超声、宫腔镜诊断与病理学诊断子宫内膜息肉(EMP)的符合情况。分析宫腔镜诊断及治疗EMP的临床效果,了解宫腔镜检查在诊断EMP方面的优势。方法分析125例经超声诊断为EMP患者的临床表现、宫腔镜诊断及病理学诊断。结果 125例患者均行宫腔镜检查,其中宫腔镜诊断为EMP者103例;病理学诊断为EMP者96例。经阴道超声与病理学诊断EMP的符合率为76.8%,宫腔镜检查与病理学诊断EMP的符合率为93.2%。结论宫腔镜检查是确诊EMP安全、有效的方法,与超声、病理学检查相结合,诊断EMP更准确。

Objective To analyze the clinical efficacy of hysteroscopy in the diagnosis and treatment of endometrial polyps （EMP）, and explore the advantages of hysteroscopy by means of comparing the transvaginal ultrasound, hysteroscopy and pathology, diagnosis of endometrial polyps （EMP） compliance. Methods The clinical manifestations, hysteroscopic diagnosis and pathological diagnosis of 125 patients with EMP confirmed by ultrasound diagnosis were analyzed. Results All the 125 patients underwent hysteroscopy. Among them, 103 were confirmed with EMP via hys- teroscopy and 96 were confirmed with EMP via pathology. The EMP compliance rate of transvagi- nal ultrasound and pathological diagnosis was 76.8 %, and the EMP compliance rate of hysteroscopy and histologic diagnosis of EMP was of 93.2 %. Conclusion Hysteroscopy is a safe and effective method to confirm EMP. When it is combined with ultrasound and pathology, the diagnosis of EMP is more accurate.