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目的探讨宫腔镜下电切术治疗直径≥1cm子宫颈息肉的临床应用价值。方法回顾性分析110例直径≥1cm、临床诊断子宫颈息肉,行宫腔镜下电切术患者的临床资料。结果术前临床误诊10例,其中术后病理诊断:子宫内膜息肉5例,子宫黏膜下肌瘤2例,子宫内膜息肉+黏膜下肌瘤、子宫内膜间质肿瘤及子宫颈腺囊肿各1例;100例病理确诊的子宫颈息肉患者中,23例(23%)合并子宫颈管内息肉,29例(29%)合并宫腔内病变,其中子宫内膜息肉18例,子宫内膜单纯型增生9例,子宫黏膜下肌瘤及子宫内膜单纯型增生伴中度不典型增生各1例。术后随访3年,共复发4例,术后第1、2、3年的复发率分别为1.0%(1/96)、1.2%(1/85)和2.4%(2/83)。结论宫腔镜下电切术治疗直径≥1cm子宫颈息肉可以降低漏诊率和误诊率,且可以发现合并的子宫腔内病变,较传统方法有较大优势。
Objective To investigate the clinical value of hysteroscopic resection of cervical polyps with diameter ≥1 cm. Methods Retrospective analysis of 110 cases of diameter ≥ 1cm, the clinical diagnosis of cervical polyps, hysteroscopic resection of patients with clinical data. Results Preoperative clinical misdiagnosis in 10 cases, of which postoperative pathological diagnosis: 5 cases of endometrial polyps, uterine fibroids in 2 cases, endometrial polyps + submucosal fibroids, endometrial stromal tumors and cervical cysts (1%) and 1 case (100%). Of the 100 patients with pathologically diagnosed cervical polyps, 23 (23%) had endocervical polyps and 29 (29%) had intrauterine lesions, of which 18 were endometrial polyps, Simple hyperplasia in 9 cases, uterine fibroids and endometrial hyperplasia with moderate dysplasia in 1 case. The patients were followed up for 3 years and 4 cases were relapsed. The recurrence rates at 1, 2 and 3 years were 1.0% (1/96), 1.2% (1/85) and 2.4% (2/83) respectively. Conclusion Hysteroscopic resection of cervical polyps with diameter ≥1 cm can reduce the misdiagnosis rate and misdiagnosis rate, and can find the combined intrauterine lesions, which have more advantages than traditional methods.