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目的探讨宫腔镜治疗子宫内膜息肉(EMP)的临床疗效。方法收集2009年3月至2010年12月在该院经门诊宫腔镜诊断为子宫内膜息肉的患者108例,均行宫腔镜电切息肉术,术后予以孕激素治疗且均行术后随访。结果 108例患者均顺利完成手术,手术时间10～50min,平均(17.31±4.18)min;出血量15～50mL,平均(30.53±9.82)mL,手术一次成功率为100%,无手术并发症发生。术后随访3～24个月,经宫腔镜治疗后,月经增多者有效率为86.6%,阴道不规则出血者有效率为100%,不孕患者妊娠成功率的87.5%,月经异常者术后月经基本恢复正常,贫血患者术后1～3个月血红蛋白恢复正常。所有患者至随访结束时,均无复发情况出现。结论宫腔镜治疗子宫内膜息肉避免了传统方法的局限性,且治疗彻底、复发率低是治疗子宫内膜息肉的首选方法。
Objective To investigate the clinical effect of hysteroscopy in the treatment of endometrial polyps (EMP). Methods A total of 108 patients with endometrial polyps diagnosed as hysteroscopy in the hospital from March 2009 to December 2010 were enrolled in this study. All patients underwent hysteroscopic electrosurgical polypectomy and were treated with progestin Follow-up. Results All the 108 patients completed the operation successfully. The operation time was 10-50 minutes (mean, 17.31 ± 4.18) min. The bleeding volume was 15-50 mL (mean, 30.53 ± 9.82 mL). The success rate of primary operation was 100%. No operative complications occurred . The patients were followed up for 3 to 24 months. After hysteroscopy, the effective rate of menstruation increased 86.6%, the rate of vaginal irregular bleeding was 100%, the pregnancy success rate of infertility 87.5% After menstruation basically returned to normal, anemia patients 1 to 3 months after hemoglobin returned to normal. All patients to the end of follow-up, no recurrence occurred. Conclusion Hysteroscopic treatment of endometrial polyps to avoid the limitations of the traditional methods, and complete treatment, low recurrence rate is the preferred method of treatment of endometrial polyps.