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作 者:季静[1] 张保华[1] 郭洁[1] 李岚[1] 周小莉 聂启勤 徐红 JI Jing;ZHANG Bao -hua;GUO Jie;LI Lan;ZHOU Xiao -li;NIE Qi -qin;XU Hong(Shanghai Punan Hospital of Pudong New District,Shanghai 200125,China)
机构地区:[1]上海市浦东新区浦南医院妇产科,上海200125
出 处:《医药论坛杂志》2018年第10期17-19,22,共4页Journal of Medical Forum
基 金:上海市浦东新区卫生系统优秀青年医学人才培养计划项目(PWRq2014-07)
摘 要:目的探讨不同生理阶段的子宫内膜息肉患者宫腔镜电切术后复发情况。方法选取2016年1月—2016年12月浦南医院妇产科收治的通过宫腔镜电切术后病理确诊为子宫内膜息肉的患者183例,根据不同生理阶段分为生育期、绝经过渡期、绝经后期三组,分析三组术后6个月、12个月的子宫内膜息肉复发情况。结果生育期和绝经过渡期两组息肉个数比较,差异无统计学意义(P> 0. 05),绝经过渡期和绝经后期两组息肉个数比较,生育期和绝经后期两组息肉个数比较,差异均有统计学意义(P <0. 05);3组患者术后6个月复发率两两比较,均无统计学差异(P> 0. 05),3组患者术后12个月复发率两两比较,生育期组和绝经过渡期组复发率比较,差异无统计学意义(P> 0. 05),绝经过渡期组和绝经后期组复发率比较,生育期组和绝经后期组复发率比较,差异有统计学意义(P <0. 05)。结论生育期和绝经过渡期子宫内膜息肉患者宫腔镜电切术后复发率高于绝经后期患者。生育期和绝经过渡期子宫内膜息肉患者中多发息肉者多见,绝经后期生育期子宫内膜息肉患者中单发息肉者多见,但息肉个数与子宫内膜息肉宫腔镜电切术后复发无关联性。Objective To investigate the recurrence of endometrial polyps at different physiological stages after hysteroscopie electrotomy.Methods From January 2016to December 2016,183patients with endometrial polyps confirmed by pathology after hysteroscopic electroresection in Punan Hospital were divided into three groups according to different physiological stages :reproductive stage,menopausal transitional stage and postmenopausal stage.Results There was no significant difference in the number of polyps between the two groups during the reproductive stage and the menopausal transition stage (P >0.05).There were significant differences in the number of polyps between the two groups during menopausal transition and postmenopausal stage,and in the number of polyps between the two groups during .reproductive stage and postmenopausal stage ( P <0.05);There was no significant difference in recurrence rate between the three groups at 6months after operation (P >0.05).There was no significant difference in recurrence rate between the reproductive group and the menopausal transition group at 12months after operation (P >0.05).There was significant difference in the recurrence rate between the menopausal transitional group and the postmenopausal group,and in the reproductive group and the postmenopausal group (P <0.05).Conclusion The recurrence rate of endometrial polyps in reproductive and menopausal transitional period was higher than that in postmenopausal period.Multiple polyps were common in women with endometrial polyps during reproductive and menopausal transitional periods.Single polyps were com- mon in women with endometrial polyps during postmenopausal reproductive periods.However,the number of polyps was not associated with recurrence after hysteroscopic resection of endometrial polyps.
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