子宫内膜息肉的临床诊治进展

Progress of Clinical Diagnosis and Treatment of Endometrial Polyps

子宫内膜息肉EPs(Endometrial Polyps,EPs),是临床上妇科较为多见的良性疾病,可发生于生殖期和绝经后的妇女,常见于40~49岁之间的女性。在临床上,以往EPs常通过阴道超声来诊断,但随着技术的不断发展,诊断EPs的手段已由阴道超声逐渐向宫腔镜检查转移,并且宫腔镜息肉切除术也已经代替了以往EPs传统的诊断性刮宫的治疗方案,之所以可以取代传统刮宫术,是因为宫腔镜电刀切除术显著的临床优势,在降低术中出血量的同时,还能够减少息肉切除后的复发,是目前EPs的最常用最有效的治疗方法。近年来新兴的又一宫腔镜技术--冷刀,不仅能够缩短手术时间、减少对子宫内膜的热损伤,还可以通过降低膨宫液吸收,来达到减少术后水中毒等副反应的效果。现对EPs的近期临床诊治进展进行总结如下。

Endometrial polyps(EPs),endometrial polyps(EPs),are more common benign diseases in gynecology,which can occur in women of reproductive and postmenopausal age,and are common in women between the ages of 40-49.In the past,EPs were often diagnosed by vaginal ultrasound,but with the continuous development of technology,the method of diagnosing EPs has gradually shifted from vaginal ultrasound to hysteroscopy,and hysteroscopic polypectomy has also replaced previous EPs traditional diagnostic curettage can replace traditional curettage because of the significant clinical advantages of hysteroscopic electrosurgical resection,which can reduce the amount of bleeding during the operation and reduce the recurrence after polypectomy currently the most commonly used and most effective treatment for EPs.In recent years,another cold hysteroscopy technique,cold knife,can not only shorten the operation time and reduce the thermal damage to the endometrium,but also reduce the absorption of swelling fluid to reduce the side effects such as water poisoning after surgery.Effect.The recent clinical diagnosis and treatment progress of EPs is summarized as follows.