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子宫内膜息肉的宫腔镜诊断和治疗价值 被引量:3

The expression of the receptors of estrogen, progesterone, epidermal growth factor in endometrial polyps the value of diagnosis and treatment of by hysteroscopy
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摘要 目的 :阐明宫腔镜对子宫内膜息肉的诊断和治疗价值。 方法 :对行宫腔镜检查的 16 76例患者中 36 0例子宫内膜息肉进行研究分析 ,对其中的 5 6例行经宫颈子宫内膜息肉电切术 (TCRP) ,术后 3个月常规复查。 结果 :子宫内膜息肉的患病率为 2 1.5 % (36 0 /16 76 ) ,绝经后子宫出血患者阳性病例为 186例 ,其中子宫内膜息肉 4 3例 (2 3.1% )。 结论 :(1)子宫内膜息肉的临床特征以不规则阴道出血为主 ,绝经期则以绝经后出血为主 ;(2 )绝经后妇女体内仍有雌激素持续作用 ;(3)宫腔镜是子宫内膜息肉诊断和治疗的首选方法。 Objectives: To expound the value of diagnosis and treatment to endometrial polyps by hysteroscopy. Methods: The numbers of patients checked by hysteroscope were 1676 during two years (1999~2000). Among them, cases with EP were 360. There were 56 cases of EP performed with transcervical resection of polyps(TCRP). Results: (1) The incidence of EP is 21.5% (360/1 676). (2) The possitive cases of uterine bleeding after menopause were 186. Among them EP were 43 cases (23.1%). Conclusions: (1) The main clinical character of EP was irregular vaginal bleeding,but it was postmenopausal uterine bleeding in climacterium. (2) Estrogen still played an important roll in climacterium. (3) Hysteroscopy is a chief tool for the diagnosis and treatment of EP.
出处 《新疆医科大学学报》 CAS 2003年第5期470-471,共2页 Journal of Xinjiang Medical University
关键词 子宫内膜息肉 宫腔镜 诊断 治疗 endometrial polyps hysteroscopy diagnosis treatment
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参考文献7

  • 1中华妇产科杂志编辑委员会.妇科内镜操作规范.中华妇产科杂志,1997,32(5):267-275.
  • 2Heller DS. How accurate is the hyteroscopic diagnosis of endometrial polyp[J]? Int J Gynecol Obstet,1997,59(1):59-60.
  • 3Torrejon R, Fernandez JJ, Carnieer I, et al. The value of hysteroscopic exploration for abnormal uterine bleeding[J]. J Am Assoc Laparosc, 1997, 4(4) :453-456.
  • 4Timmerman D, Deprest J, Bourne T. A randomized trial on the use of uhrasonography or office hysteroscopy for endometrial assessment in postmenopausal patients with breast cancer who were treated with tamoxifen[J]. Am J Obstet Gynecol, 1998,179 (1) : 62-70.
  • 5Van Bogaert LT. Clinicopathologic findings in endometrialpolyps[J]. Obstet Gynecol, 1988,71 :771-773.
  • 6Review. Endometrial assessment re-visited [J]. Br J Obstet Gynecol, 1999, 106 : 623-632.
  • 7郭东辉.子宫内膜息肉的临床病理分析[J].中华妇产科杂志,1991,26(5):287-289. 被引量:62

二级参考文献2

  • 1陈志龙,子宫内膜组织病理学,1984年
  • 2林崧,妇产科病理学,1982年

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