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目的研究绝经后子宫内膜息肉恶变与代谢综合征的相关性。方法选择2012年10月—2014年11月治疗绝经后子宫内膜息肉的患者452例。根据病理类型分为良性组422组,恶变组30例,观察两组一般资料情况,并分析其相关性。结果恶变组血高密度脂蛋白(HDL)、血三酰甘油(TG)、空腹血糖、绝经后阴道流血、子宫内膜厚度、腰围、绝经年限、体质指数(BMI)与良性组相比,差异均有统计学意义(P<0.05)。结论子宫内膜息肉恶变与代谢综合征有明显关系,对于绝经后患有子宫内膜息肉合并代谢综合征的患者,应该定期随访,定期检查,如果发现危险因素,需及时进行息肉切除手术。
Objective To study the relationship between malignant transformation of postmenopausal endometrial polyps and metabolic syndrome. Methods Forty-two patients with endometrial polyps from October 2012 to November 2014 were selected. According to the pathological type, it was divided into 422 groups of benign group and 30 cases of malignant group. The general data of the two groups were observed and analyzed. Results Compared with benign group, the levels of HDL, TG, fasting blood glucose, vaginal bleeding after menopause, endometrial thickness, waist circumference, menopause, body mass index (BMI) All were statistically significant (P <0.05). Conclusion The malignant transformation of endometrial polyps has obvious relationship with metabolic syndrome. Patients with endometrial polyps and metabolic syndrome after menopause should be followed up regularly and examined regularly. If the risk factors are found, the polyp excision should be performed in time.