摘要
目的分析绝经后子宫内膜息肉的临床特点,探讨适宜的诊疗方法。方法回顾性分析2007年9月～2009年4月住院治疗的68例绝经后子宫内膜息肉的临床资料,均行B超检查,发现宫内病变63例(92.6%),均经宫腔镜检查并行宫腔镜下子宫内膜息肉切除术。结果子宫内膜良性息肉63例(92.6%),子宫内膜息肉内非典型增生5例(7.4%);61例子宫内膜息肉经宫腔镜治疗后随访12～30个月无复发,7例术后行全子宫切除术(5例子宫内膜息肉内非典型增生,2例因其他病变)。结论①绝经后子宫内膜息肉以良性病变为主,但应警惕癌前病变可能,明确诊断需宫腔镜检查联合病理组织学诊断。②宫腔镜下息肉切除术是治疗绝经后子宫内膜息肉的常规方法 ,若发现癌前病变应尽快行全子宫切除术。
Objective To investigate the clinical characteristics of post-menopausal endometrial polyps,and proper diagnostic and therapeutic methods for the disease. Methods We retrospectively analyzed the clinical data of 68 cases of post-menopausal endometrial polyps,who were treated in our hospital from September 2007 to April 2009. All the cases received B-ultrasonography,which detected the lesion in 63 of the cases （92.6%）. Hysteroscopy was carried out in all of the patients,and resection of the polyps were performed meanwhile. The patients were followed up for 12 to 30 months after the surgery. Results In this series,benign lesion was detected in 63 cases （92.6%）,the other 5 cases （7.4%） were confirmed as having atypical endometrial hyperplasia. During the follow-up,61 of the cases had no recurrence; the other 7 patients received hysterectomy because of atypical endometrial hyperplasia （5 cases） or other lesions （2 cases）. Conclusions Most of the patients with post-menopausal endometrial polyps are benign cases,but hysterscopic and pathological examinations shall be carried out to exclude pre-cancer changes. Hysteroscopic resection is the routine treatment for the disease. Hysterectomy should be performed as soon as possible if atypical endometrial hyperplasia is detected.
出处
《中国微创外科杂志》
CSCD
2010年第7期626-628,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
绝经期
子宫内膜息肉
宫腔镜
Menopause
Endometrial polyps
Hysteroscopy
