陆倩

[摘要] 目的 探讨以宫腔镜诊治子宫内膜息肉的有效性与安全性。方法 方便2012年1月—2016年1月该院超声诊断高度疑似为子宫内膜息肉的108例患者为研究对象，随机分为两组。实验组54例，患者行宫腔镜诊治术；对照组54例，患者行宫腔诊刮术。观察两组手术时间、术中出血量、并发症，以病理诊断为金标准，观察两组符合率。 结果 两组手术成功率均为100.00%，并发症发生率0.00%（P>0.05）。实验组手术时间（24.6±9.3）min长于对照组，术中出血量（9.8±2.2）mL少于对照组，随访时息肉复发（3例）少于对照组，差异有统计学意义（P<0.05）。 宫腔镜诊断子宫内膜息肉的符合率（98.15%）显著高于诊刮（77.78%），差异有统计学意义（P<0.05）。结论 宫腔镜诊治子宫内膜息肉，诊断符合率高，总体治疗效果好，值得临床推广使用。

[关键词] 子宫内膜息肉；宫腔镜诊治术；临床疗效

[中图分类号] R713 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0079-03

Application of Hysteroseope in the Diagnosis and Treatment of Endometrial Polyps

LU Qian

Department of Gynecology and Obstetrics， Taizhou Fourth Peoples Hospital， Taizhou， Jiangsu Province， 225300 China

[Abstract] Objective To study the effectiveness and safety of hysteroseope in the diagnosis and treatment of endometrial polyps. Methods 108 cases of patients highly suspected with endometrial polyps in our hospital from January 2012 to January 2016 were conveniently selected and randomly divided into two groups with 54 cases in each， the experimental group adopted the hysteroscopy diagnosis and treatment， while the control group adopted the uterine cavity curettage， and the operation time， intraoperative bleeding amount and complications of the two groups were observed and the coincidence rate of the two groups was observed according to the pathological diagnosis. Results The operative success rate and incidence rate of complications of the two groups were respectively 100.00% and 0.00%（P>0.05）， the operation time in the experimental group was （24.6±9.3）min， which was longer than that in the control group， and the intraoperative bleeding amount was（9.8±2.2）mL， which was less than that in the control group， and the recurrence rate of polyps at follow-up（3 cases） was lower than that in the control group， and the difference was statistically significant by comparison（P<0.05）， and the coincidence rate of endometrial polyps diagnosed by the hysteroseope was obviously higher than that of curettage （77.78%）， the differences were statitically significant by comparison（P<0.05）. Conclusion The coincidence rate of hysteroseope in the diagnosis and treatment of endometrial polyps is high and the total treatment effect is good， which is worth clinical promotion and application.

[Key words] Endometrial polyps； Hysteroseope diagnosis and treatment； Clinical curative effect

子宮内膜息肉是指子宫内膜过度增生所形成的突出于子宫腔内的光滑的有蒂肿物，属妇科常见、多发病，可引起不规则阴道流血、腹痛、不孕等症[1]。子宫内膜息肉以良性多见，偶有恶变，既往临床多行超声检查或诊断性刮宫，漏诊率高[2]。该院近年来采用宫腔镜诊治子宫内膜息肉取得满意效果，文章以2012年1月—2016年1月该院收治的108例超声诊断高度疑似子宫内膜息肉的患者为例进行分析和探讨，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的108例超声诊断高度疑似子宫内膜息肉患者为研究对象，患者主要临床表现为子宫不规则出血、腹痛、白带异常等症。病例排除标准[3]：①严重脏器疾病、血液疾病；②子宫颈恶性病变；③生殖道感染急性期；④子宫屈度过大；⑤合并精神疾病等无法配合该研究者。随机将入选病例分为两组。实……