宫颈息肉的宫腔镜诊断和治疗

首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (4): 539-540.

宫颈息肉的宫腔镜诊断和治疗

文巧英, 张宏茹

首都医科大学附属北京天坛医院妇产科

收稿日期:2005-04-25 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24

Diagnosis and Treatment of Cervical Polyp by Hysteroscopy

Wen Qiaoying, Zhang Hongru

Department of Obstetrics and Gynecology, Beijing Tiantan Hospital, Capital University of Medical Sciences

Received:2005-04-25 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24

摘要/Abstract

摘要： 目的解决宫颈息肉漏诊率高、复发率高的问题,对宫颈息肉采用宫腔镜下治疗.方法对359例宫颈糜烂患者用宫腔镜进行诊断和治疗.结果肉眼息肉诊断率为19.2%(69/359),而宫腔镜诊断率为50.7%(182/359, P＜0.05).宫腔镜能发现肉眼不易发现的息肉,诊断率大大提高.在宫腔镜的直视下切除息肉蒂部及其附着的浅肌层,1年息肉复发率明显下降为1.1%(2/182).结论宫腔镜在宫颈息肉的诊断及治疗方面有较大优势.

关键词: 宫颈糜烂, 宫颈息肉, 宫腔镜诊断及治疗

Abstract: Objective To solve the problem of highly misdiagnosis and recurrence.Methods 359 patients with cervical erosion were diagnosed and treated with hysteroscopy.Results The diagnostic ratio of cervical polyp with gross observation was 19.2%(69/359),whereas the value was 50.7%(182/359) by hysteroscopy.Cervical polyp could be found easily by hysteroscopy compared with gross observation.Diagnostic accuracy was improved.Polyp pedicle with superficial muscularis was removed directly under hysteroscopy and the recurrence rate was 1.1%(2/182) in a year which decreased significantly. The recurrence rate was 23.8% in three months by routine polypectomy.Conclusion Hysteroscopy is an effective method for diagnosis and treatment of cervical polyp.

Key words: cervical erosion, cervical polyp, diagnosis and treatment by hysteroscopy

中图分类号:

R737.33

文巧英;张宏茹. 宫颈息肉的宫腔镜诊断和治疗[J]. 首都医科大学学报, 2006, 27(4): 539-540.

Wen Qiaoying;Zhang Hongru. Diagnosis and Treatment of Cervical Polyp by Hysteroscopy[J]. Journal of Capital Medical University, 2006, 27(4): 539-540.

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