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目的:探讨多囊卵巢综合征(PCOS)中子宫内膜息肉(EP)的发生率。方法:对2009年1月～2009年12月期间该院妇科门诊诊治的347例不孕患者进回顾性分析,按照病因分为3组,PCOS组132例,慢性盆腔炎组105例,正常盆腔组110例。慢性盆腔炎、正常盆腔为对照组。依据第7版《妇产科学》(全国高等学校教材)诊断PC0S的标准:稀发排卵或无排卵;高雄激素的临床表现和(或)高雄激素血症;卵巢多囊改变:B超提示一侧或双侧卵巢直径2～9 mm卵泡≥12个。3项中符合2项并排除其他高雄激素病因。慢性盆腔炎均经腹腔镜或开腹手术确诊,EP经宫腔镜检查后病理证实。对3组不孕症患者的EP发生率进行比较。结果:PCOS组发生EP40例(30.3%),慢性盆腔炎组发生EP6例(5.71%),正常盆腔组发生EP7例(6.36%),PCOS组EP的发生率显著高于对照组(P<0.05)。结论:对于明确诊断的PCOS患者,可先行阴道超声(TVS)检查排除宫腔占位,如发现宫腔占位,需行宫腔镜检查注意排除EP。
Objective: To investigate the incidence of polycystic ovary syndrome (PCOS) in the endometrial polyps (EP). Methods: A retrospective analysis of 347 infertile patients diagnosed and treated in gynecology outpatient department from January 2009 to December 2009 was divided into 3 groups according to the cause, 132 patients in the PCOS group, 105 patients in the chronic pelvic inflammatory disease group, Group of 110 cases. Chronic pelvic inflammatory disease, normal pelvic control group. According to the seventh edition of “Obstetrics and Gynecology” (National Colleges and universities textbooks) diagnosis of PC0S criteria: rare or no ovulation ovulation; androgenic clinical manifestations and / or hyperandrogenism; polycystic ovary changes: B- Ovarian side or both ovaries 2 ~ 9 mm follicles ≥ 12. 3 in line with 2 and exclude other causes of hyperandrogenism. Chronic pelvic inflammatory disease were confirmed by laparoscopy or laparotomy, EP pathology confirmed by hysteroscopy. The incidence of EP in 3 infertility patients was compared. Results: The incidence of EP in PCOS group was 30.3%, EP 6 cases (5.71%) in chronic pelvic inflammatory disease group and EP7 in normal pelvic group (6.36%). The incidence of EP in PCOS group was significantly higher than that in control group (P <0.05) ). Conclusion: For the diagnosis of PCOS patients, vaginal ultrasound (TVS) can first exclusion of intrauterine occupancy, such as the discovery of intrauterine occupancy, need to hysteroscopy to exclude EP.