子宫内膜息肉的治疗现状及进展

Status and progress in the treatment of endometrial polyps

子宫内膜息肉在我国发病率较高,且集中发病于30~50岁绝经后妇女,目前临床认有关。目前临床上诊断子宫内膜息肉的方法主要包括诊断性剖宫、阴道超声检查、宫腔镜下活检等,其中宫腔镜引导下活检具有较高的敏感度和特异性,是诊断子宫内膜息肉的金标准,IL-8、IL-23可能与子宫内膜息肉发病存在关系。我国目前治疗子宫内膜息肉包括保守治疗、药物治疗、手术治疗等,而手术治疗方法中还包括宫腔镜手术、刮宫术、根治性手术。临床上可以通过子宫内膜去除术、手术方法选择、术后联合孕激素治疗等措施预防子宫内膜息肉患者治疗复发。

The incidence of endometrium polyps in China is high,and it is concentrated on postmenopausal women aged 30-50.It is believed that the pathogenesis of endometrium polyps,cytokines,genetic factors,cell proliferation and apoptosis are related to hormone regulation and drug effect.At present,the methods of clinical diagnosis of endometrial polyps include diagnostic caesarean section,vaginal ultrasound examination,hysteroscopic biopsy and so on.Hysteroscopic guided biopsy has high sensitivity and specificity,which is the gold standard for the diagnosis of endometrial polyps.IL-8 and IL-23 may be associated with the pathogenesis of endometrium polyps.At present,the treatment of endometrium polyps in China includes conservative treatment,drug treatment,surgical treatment and so on,and the methods of surgical treatment include hysteroscopy,curettage and radical surgery.The treatment of endometrial polyps can be prevented by endometrial removal,operative methods and postoperative progesterone therapy.