宫腔镜下电切术治疗子宫内膜息肉44例临床分析

摘要

ObjectiveTo explore the value of hysteroscopic electrotomy in the treatment of endometrial polyp. Methods Patients who were admitted to the outpatient department in our hospital and received endometrial curettage to exclude carcinoma of endometrium were selected.46 patients were suspected to have endometrial polyp via type-B ultrasound.44 patients were diagnosed with endometrial polyp via hysteroscopy,and 2 patients showed no abnormal symptoms.Base part of the polyp was cut via electrotomy of annular electrodes under hysteroscopy.The polyp was completely removed and sent to pathology department for testing.Type-B ultrasound was carried out in 1 month,3 months and 6 months after the surgery.ResultsMalignant transformation occurred in none of the 44 patients based on pathological tests.The surgery was completed successfully at the first time.The average surgery time was (20.3±2.1) min and the average amount of bleeding was (25.0±5.0)mL.No surgery-induced complications were detected.Relapse of endometrial polyp was not seen in post-operative follow-ups.Conclusion Hysteroscopy in the diagnosis of endometrial polyp is highly accurate and less traumatic, suitable for the following treatment at the same time,and has a satisfactory curative effect.%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，行宫腔镜检查，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次完成，平均手术时间（20.3±2.1）min，平均出血量（25.0±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。结论宫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。