236例绝经后子宫内膜息肉的临床资料分析

发布时间：2018-03-01 02:26

本文关键词： 绝经子宫内膜息肉息肉恶变　出处：《中国妇产科临床杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨绝经后妇女子宫内膜息肉发生的相关因素及超声检查及病理特征,以及癌变的概率,讨论绝经后EP行宫腔镜检查的必要性。方法收集2010年1月至2014年1月间中国人民解放军总医院236例绝经后妇女EP患者的临床资料,讨论年龄、月经史、内科并发症与EP的相关性;分析比较不同年龄组绝经后EP的分布特征、形态特点、超声诊断特点和病理诊断特点。结果绝经后EP患者子宫正常或增大207例,占86.9%。息肉多发单发,约占67.4%,34.7%的病例患有高血压。超声下子宫内膜增厚,血流信号不丰富,腺肌瘤型息肉或伴有不典型增生、恶变的血流信号较丰富。绝经后EP恶变的几率1.7%。结论绝经后EP对雌激素刺激具有高度敏感性,绝经后EP有其病理性特征,常伴有不典型增生,恶变。宫腔镜手术有助于提高EP检出率;绝经后EP切除能够有效地阻止病变发展。
[Abstract]:Objective to investigate the related factors of endometrial polyps in postmenopausal women and their ultrasonographic and pathological features, as well as the probability of carcinogenesis. Methods the clinical data of 236 postmenopausal women with EP from January 2010 to January 2014 were collected and their age and menstrual history were discussed. The distribution, morphology, ultrasonic diagnosis and pathological diagnosis of postmenopausal EP in different age groups were analyzed and compared. Results there were 207 cases of normal or enlarged uterus in postmenopausal EP. Multiple polyps occurred singly, accounting for 67.4% of the cases with hypertension, endometrial thickening under ultrasound, blood flow signal was not abundant, adenomyomatous polyps or atypical hyperplasia, The incidence of malignant change in postmenopausal EP is 1.7%. Conclusion postmenopausal EP is highly sensitive to estrogen stimulation, and postmenopausal EP has its pathological characteristics, often accompanied by atypical hyperplasia. Malignant change. Hysteroscopic surgery can improve the detection rate of EP, and postmenopausal EP resection can effectively prevent the development of the lesion.
【作者单位】：中国人民解放军总医院妇科;解放军477医院妇产科;

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