子宫内膜息肉64例临床分析

目的探讨如何提高子宫内膜息肉诊断的准确率,给予患者正确的治疗;方法对2013年1—12月份该院收治的64例超声提示子宫内膜息肉患者的宫腔镜检查结果与术前超声结果进行比较;结果生育期妇女术后病理与超声诊断符合者27例,占73%;不符者10例,占27%,分别为增殖期宫内膜5例,分泌期宫内膜4例,单纯性增生1例。绝经期妇女27例,术前超声提示子宫内膜增厚的18例中,有10例发现子宫内膜病变,其中子宫内膜息肉8例。术前超声提示子宫内占位的9例,术后病理100%提示子宫内膜病变,其中子宫内膜息肉4例;结论生育期妇女超声诊断子宫内膜息肉有一定的误诊率,超声诊断应在卵泡期进行,根据子宫内膜息肉的大小采取个体化治疗。绝经期妇女,超声提示异常者应高度怀疑子宫内膜病变,需进行进一步的检查确诊。

Clinical Analysis of 64 Cases with Endometrial Polyp

Objective To discuss how to improve the diagnostic accuracy of endometrial polyp and give the correct treatment to the patients. Methods 64 patients admitted in our hospital from January 2013 to December 2013 were found with endometrial polyp by ultrasonography. And the detection results by hysteroscopy of the patients were compared with the findings of the preoperative ultrasonography. Results The results of postoperative pathological examination of 27 women of childbearing age were in accorded with the results of ultrasonography, accounting for 73%; and those of 10 women of childbearing age were not, accounted for 27%, including 5 cases with proliferative endometrium, 4 cases with secretory endometrium, and 1 case with simple hyperplasia. Among the 27 postmenopausal women, 18 cases were found with endometrial thickening by preoperative ultrasonography, and of them, 10 were found with endometrial lesions, including 8 cases with endometrial polyp. Preoperative ultrasonography showed that 9 cases had intrauterine occupying lesions, postoperative pathology suggested 100% endometrial lesions, including 4 cases with endometri- al polyps. Conclusion There is a certain misdiagnosis rate by ultrasonography for diagnosing endometrial polyp of women of child- bearing age. The ultrasonic diagnosis should be performed in folliclllar phase, and the patients should be given individualized treatment according to the size of endometrial polyp. For postmenopausal women with abnormal examination results by ultrasonog- raphy, endometrial lesions should be highly suspected, and the women need further examination for confirmed diagnosis.