宫腔镜在妊娠期宫颈息肉治疗中的应用

Application of hysteroscopy in the treatment of cervical polyp during pregnancy

目的探讨宫腔镜诊治妊娠期宫颈息肉的价值。方法回顾性分析2013年6月至2019年6月在首都医科大学附属北京天坛医院就诊的48例妊娠期宫颈息肉患者的诊治经过,按治疗方式分为宫腔镜组和保守治疗组,分析两组患者的临床特征。结果48例患者宫颈息肉长度在1.0~7.0 cm,其中宫颈单发息肉37例、宫颈多发息肉11例;21例患者应用宫腔镜宫颈息肉双极电切术(宫腔镜组)、27例患者保守治疗观察(保守治疗组)。两组的年龄、孕周、孕次及产次比较,差异无统计学意义(P>0.05)。宫腔镜组再次阴道出血发生率、阴道炎发生率、先兆早产发生率、早产发生率、胎膜早破发生率明显少于保守治疗组(P<0.05)。结论宫腔镜对于妊娠期宫颈息肉患者的诊治有较高的临床应用价值,但还需要更大样本量的临床观察。

Objective To evaluate the effects of hysteroscopy in the diagnosis cervical polyp in pregnancy.Methods 48 cases diagnosed as cervical polyp in pregnancy in Beijing Tiantan Hospital were retrospectively analyzed from Jun.2013 to Jun.2019.All the patients were divided into 2 groups:hysteroscopy group and conservative treatment group.Results Among the 48 patients,the length of cervical polyps ranged from 1.0 cm to 7.0 cm,37 cases had single cervical polyp and 11 cases had multiple cervical polyps.21 patients underwent hysteroscopic resection of cervical polyps(hysteroscopy group),and 27 patients were observed under conservative treatment(conservative treatment group).There was no significant difference between the two groups in age,gestational age,gravidity and parity.The incidence of recurrent vaginal bleeding,vaginitis,incidence of threatened premature labor,premature delivery and premature rupture of membranes were significantly lower in the hysteroscopy group than in the conservative treatment group(P<0.05).Conclusions Hysteroscopy has a high clinical value in the diagnosis and treatment of cervical polyps during pregnancy,but a larger sample size is needed for clinical observation.