宫腔镜下电切术治疗子宫内膜息肉44例临床分析-论文.pdf

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1、十一墨药斜詈2014年9月第4卷第17期·临床研究·官腔镜下电切术治疗子宫内膜息肉44例临床分析范兰玲江苏省扬州市江都人民医院妇产科，江苏扬州225200[摘要】目的探讨宫腔镜下电切术在治疗子宫内膜息肉中的价值。方法选取我院门诊行子宫内膜诊刮排除子宫内膜癌的病例，B超提示有子宫内膜息肉患者共46例，行官腔镜检查，术中证实有44例为子宫内膜息肉，有两例未见异常，宫腔镜直视下环状电极电切息肉基底部，完整切除息肉，送病理化验。术后1个月、3个月、6个月分别行B超检查。结果44例患者经病理学检查均无恶变发生，手术均1

2、次完成，平均手术时间(2O-34-2．1)min，平均出血量(25．04-5．0)mL，患者无术后并发症。术后随访未见有子宫内膜息肉复发。结论官腔镜诊断子宫内膜息肉准确率高、创伤小，能同时进行治疗，取得满意疗效。【关键词】宫腔镜；电切术；子宫内膜息肉【中图分类号1R737．33【文献标识码】B【文章编号12095—0616(2014)17—169—03AclinicalAnalysisofhysteroscopicelectrotomyinthetreatmentof44casesofendometrialp

3、olypFANE舢lingDepartmentofGynecologyandObstetrics，JiangduPeople’SHospitalofYangzhou，Yangzhou225200，China【AbstractJ0bJectiveToexplorethevalueofhysteroscopicelectrotomyinthetreatmentofendometrialpolyp．MethodsPatientswhowereadmittedtotheoutpatientdepa~mentinour

4、hospitalandreceivedendometrialcurettagetoexcludecarcinomaofendometriumwereselected．46patientsweresuspectedtohaveendometrialpolypviatype-Bultrasound．44patientswerediagnosedwithendometrialpolypviahysteroseopy，and2patientsshowednoabnormalsymptoms．Basepartofthe

5、polypwascutviaeleetrotomyofannularelectrodesunderhysteroscopy．Thepolypwascompletelyremovedandsenttopathologydepartmentfortesting．Type-Bultrasoundwascarriedoutinlmonth．3monthsand6monthsafterthesurgery．ResultsMalignanttransformationoccurredinnoneofthe44patien

6、tsbasedonpathologicaltests．Thesurgerywascompletedsuccessfullyatthefirsttime．Theaveragesurgerytimewas(20．3±2．1)minandtheaverageamountofbleedingwas(25．0±5．0)mL．Nosurgery—inducedcomplicationsweredetected．Relapseofendometrialpolypwasnotseeninpost-operativefollo

7、w—ups．ConclusionHysteroscopyinthediagnosisofendometrialpolypishighlyaccurateandlesstraumatic，suitableforthefollowingtreatmentatthesametime，andhasasatisfactorycurativeeffect．【Keywords1Hyster0scopy；Electr0t0my；End0metrialpolyp子宫内膜息肉(Endometrialpolyps)是由宫内孕症患者

8、2例，年龄31～59岁，平均(39．1-4-3．5)膜增生过盛构成的，多因子宫内膜受雌性激素持岁。患者多表现为经期延长及周期不规律，月经续性作用发生的增生性良性病变，发病率高，不同量增多，不规则出血等症状。术前患者均给予诊年龄段均有发生，是常见的子宫内膜病变之一，常断性刮宫，排除子宫内膜癌，B超提示宫内膜增引起引导出血与不孕症状，运用药物、手术治疗均厚、不均匀、息肉可能，排除重要脏器疾病、精神疾有一