探讨宫腔镜治疗子宫内膜息肉的方法和效果

To Discuss the Method and Effect of Treating Endometrial Polyps by Hysteroscopy

目的：研究分析子宫内膜息肉患者接受宫腔镜治疗的临床效果。方法根据2009年5月～2013年5月我院的218例子宫内膜息肉患者进行研究，患者接受宫腔镜手术治疗，根据其病情特点选择不同手术，并对患者进行术后2～12个月的跟踪随访，对手术效果进行观察分析。结果全部患者均要采取手术切除息肉的治疗方式，有89例患者单纯将息肉切除，29例患者切除息肉以及浅层内膜，73例切除息肉和内膜，27例切除息肉以及剥除内膜。17例痛经患者术后6例治愈，9例缓解，2例无效，10例不孕患者有3例顺利妊娠。27例绝经者无异常出血情况。术前评分40～654分，平均（326±162）分，术后评分0～71分，平均（20±18）分。结论子宫内膜息肉患者接受宫腔镜治疗的临床效果突出，安全性高。手术方案需要根据患者的病情、类型、年龄等进行选择，制定最佳手术方案才能够确保治疗效果。

Objective To study the clinical effect of the treatment of patients with endometrial polyps by hysteroscopy.Methods According to 218 cases of patients with endometrial polyps in our hospital from May 2009 to May 2013, patients underwent surgical treatment. The patients were followed up for 2 to 12 months after surgery.Results All patients were treated by surgical removal of polyps, 89 cases of patients with polyps resection, 29 cases of patients with polyps and superifcial, 73 cases of polyps and endometrium, 27 cases of removal of polyps and stripping. 17 cases of dysmenorrhea were cured, 9 cases were cured, 6 cases were relieved, 2 cases were invalid, 10 cases of infertility patients with 3 cases of successful pregnancy. 27 cases of postmenopausal women without abnormal bleeding. The score was 40 to 654 points, and the average score was （326±162）, and the score was 0 to 71 points, and the average （20±18）. Conclusion The clinical effect of the treatment of patients with endometrial polyps is outstanding, and the safety is high. Operation plan needs to choose according to the patient＆#39;s condition, type, age, making the best operation plan to ensure the treatment effect.