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目的总结108例子宫内膜息肉的临床特点、治疗方法及预后。方法回顾性分析郑州市中医院2007年8月至2010年8月收治的108例经宫腔镜检查加病理确诊的子宫内膜息肉患者的临床资料,在全身麻醉下采用宫腔镜手术摘除。结果 108例中异常子宫出血70例(64.81%),合并不孕30例(27.27%),超声提示子宫内膜增厚20例(18.52%),提示子宫内膜不均质占位65例(60.18%)。手术时间(17.56±7.23)min,术中出血(15.30±5.10)ml,术后月经异常者恢复正常,术后妊娠18例。结论子宫内膜息肉是宫腔内常见的一种良性病变,超声联合宫腔镜检查是诊断子宫内膜息肉的金标准,而宫腔镜下子宫内膜息肉电切术是治疗子宫内膜息肉的有效手段。
Objective To summarize the clinical features, treatment and prognosis of 108 cases of endometrial polyps. Methods The clinical data of 108 cases of endometrial polyps diagnosed by hysteroscopy and pathology from August 2007 to August 2010 in Zhengzhou City Hospital were retrospectively analyzed. Hysteroscopic surgery was performed under general anesthesia. Results Of the 108 cases, 70 cases (64.81%) had abnormal uterine bleeding, 30 cases (27.27%) had combined infertility, 20 cases (18.52%) showed endometrial thickening by ultrasound, 60.18%). The operation time (17.56 ± 7.23) min, intraoperative bleeding (15.30 ± 5.10) ml, postoperative menstrual abnormalities returned to normal postoperative pregnancy in 18 cases. Conclusions Endometrial polyps is a common benign lesion in uterine cavity. Ultrasonography combined with hysteroscopy is the gold standard for diagnosis of endometrial polyps, while hysteroscopic endometrial polyps resection is the treatment of endometrial polyps Effective means.