子宫内膜息肉在3种不孕症中发生率的比较  

Comparison of incidence of endometrial polyps in three infertile women

作　　者：赵淑云[1] 刘雨生[1] 骆丽华[1] 栾红兵[1] 季静娟[1] 刘雨生（1） 李秀娟（编校） 

机构地区：[1]安徽医科大学附属省立医院,安徽合肥230001 [2]不详

出　　处：《中国妇幼保健》2006年第8期1120-1121,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨子宫内膜异位症（EMs）中子宫内膜息肉的发病率。方法：对1998年1月～2005年2月期间女性不孕症门诊诊治的308例不孕症患者进行回顾性分析，按照病因分为3组，EMs组94例，按照美国生殖学会分类法标准（AFS分期法）分为4期，其中Ⅰ期27例，Ⅱ期22例，Ⅲ期26例，Ⅳ期19例，慢性盆腔炎组98例，正常盆腔组116例。慢性盆腔炎、正常盆腔为对照组。子宫内膜异位症和慢性盆腔炎均经腹腔镜或开腹手术确诊，正常盆腔经腹腔镜证实，子宫内膜息肉经官腔镜检查后病理证实。对3组不孕症和不同期别的EMs患者子宫内膜息肉的发生率进行比较。结果：EMs组发现子宫内膜息肉20例（21．3％），慢性盆腔炎组4例（4．1％），正常盆腔4例（3．4％），EMs组子宫内膜息肉的发生率显著高于对照组（P〈0．05），不同期别的EMs子宫内膜息肉的发生率没有显著差异（P〉0．05）。结论：对于明确诊断的EMs患者，行经阴道超声（TVs）注意排除宫腔占位，如发现官腔占位，需行官腔镜检查。反之，对于TVs或官腔镜提示子宫内膜息肉的患者，可放宽腹腔镜检查指征，以明确是否有EMs存在。Objective： To compare the frequency of endometrial polyps in women with endometriosis. Methods： The frequency of endometrial polyps in 308 women with sterility in this hospital during 1998. 1 - 2005. 2 was retrospectively analyzed. 94 with endometriosis, including stage 1 27 cases, stage Ⅱ 22 cases, stage Ⅲ 26 cases and stage Ⅳ 19 cases, 98 with chronic pelvic inflammatory diseases and 116 with normal pelvic. Endometriosis and chronic pelvic inflammatory disease were detected by laparoscopy or abdominal laparotomy, normal pelvic was comfirmed by laparoscopy, endometrial polyps were confirmed by pathologic examination. Results： Endometrial polyps were found in 20 women （21.3%） with endometriosis and in 4 women （4. 1% ） with chronic pelvic inflammatory disease and in 4 women （3.4%） with normal pelvic. The frequency of endometrial polyps in women with endometriosis was significantly higher than that of chronic pelvic inflammatory disease and normal pelvic. Conclusion： If endometriosis is detected in a women undergoing evaluation for infertity, transvaginal ultrasound （TVS） is recommended, if TVS suggests endometrial lesions, hysteroscopic examination is strongly recommended. Conversely, if TVS or hysteroscopy does indicate presence of an endometrial polyp, indication of laparoscopic examination should be widened to determine whether endometriosis may be present.

关 键 词：子宫内膜异位症 子宫内膜息肉 慢性盆腔炎 

分 类 号：R711.74[医药卫生—妇产科学]