摘要
目的探讨宫腔镜手术在治疗绝经期子宫内膜息肉方面的临床效果。方法回顾性分析1999年10月～2004年10月在我院经门诊宫腔镜诊断为子宫内膜息肉而行宫腔镜手术的49例绝经后妇女的临床资料。41例行单极电切手术:其中13例行单纯息肉切除,15例息肉切除同时行滚球电极子宫内膜剥除,13例息肉切除同时行热球子宫内膜剥除;5例行双极汽化电切息肉及子宫内膜剥除;余3例患者因术中诊为黏膜下子宫肌瘤而行宫腔镜下肌瘤切除术。结果49例中术后病理诊断为子宫内膜息肉46例,其中1例合并子宫内膜复杂性伴轻度非典型增生;黏膜下子宫肌瘤3例。宫腔镜检查诊断子宫内膜息肉的符合率为93.88%(46/49)。所有患者均耐受手术,无麻醉意外及手术并发症。31例绝经后出血患者均未再出现异常出血。结论宫腔镜手术是绝经后妇女子宫内膜息肉的首选微创诊治方法,为了防止息肉复发可于息肉切除同时行子宫内膜去除术。
Objective To investigate the role of hysteroscopic surgery in the management of endometrial polyps（EMP） in postmenopausal women. Methods A total of 49 menopausal women who underwent hysteroscopic surgery for endometrial polyps from October 1999 to October 2004 were followed up. Of them,41 patients were treated by monopolar electrocantery, including 13 patients by transcervical resection of polyps （TCRP） alone, 15 by TCRP and rollerball endometrial ablation（EA）,and 13 by TCRP and thermal ballon endometrial ablation;5 patients underwent TCRP and endometrial ablation by bipolar electrovaporization; and the other 3 patients with submucous leiomyoma of uterus diagnosed pathologically were treated by transcervical resection of myoma（TCRM）. Results Forty-six patients were diagnosed pathologically as having endometrial polyps, of whom one patient had polyps with atypical endometrial hyperplasia. Three patients were diagnosed pathologically as having submucous leiomyoma of uterus. The diagnostic accordance rate of hysteroscopy for endometrial polyps was 93.88%. No anesthetic accident or operative comphcation occurred. Postmenopausal vaginal bleeding disappeared in 31 patients. Condusions Hysteroscopic surgery is the first choice for management of endometrial polyps in postmenopausal women; polypectomy combined with endometrial ablation should be performed to prevent the recurrence of polyps.
出处
《武警医学》
CAS
2005年第8期572-575,共4页
Medical Journal of the Chinese People's Armed Police Force
