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目的:观察患有子宫内膜息肉的患者在门诊采用宫腔镜进行治疗的临床效果。方法:B超介入下宫腔镜检查的同时对于单发小的EMP可在宫腔镜直视下摘除息肉,增生型的EMP采取刮宫术刮除,较大的息肉可采用抓钳(腹腔镜手术器械)或小环钳夹取,对于少数特别大且根蒂部比较粗的EMP、身体不能耐受门诊手术、较韧的绝经期EMP收入院电切术。结果:84%的EMP都可以在门诊宫腔镜检查的同时解决。13%的EMP需要住院行电切术。3%因合并有其他疾病需行子宫全切手术。结论:门诊行宫腔镜下EMP手术简单,方便,手术费用低,且没有麻醉风险。但有痛苦,只要能耐受大多数EMP可以在门诊解决。
Objective: To observe the clinical effect of hysteroscopy in outpatients with endometrial polyps. Methods: B-hysteroscopy under the intervention of hysteroscopy at the same time for a single small EMP hysteroscopy can be removed under direct vision of the polyp removed, proliferative EMP curettage curettage, larger polyps can be used forceps (laparoscopy Surgical instruments) or small ring clamp, for a small number of particularly large and pedunculated EMP thick, the body can not tolerate outpatient surgery, the more tough menopausal EMP income hospital resection. Results: 84% of EMPs were resolved at the same time as hysteroscopy. Thirteen percent of EMPs require hospital resection. 3% due to the merger of other diseases require hysterectomy surgery. Conclusions: Hysteroscopic EMP in the outpatient department is simple, convenient, low cost and without the risk of anesthesia. But painful, as long as most EMPs can be tolerated in the clinic.