Analysis of factors influencing endometrial polyp recurrence after hysteroscopic polypectomy

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Research Pub Date : 2025-07-13 DOI:10.1111/jog.16352

Xiaoning Li, Xiaopeng Zhao, Beibei Wang, Jun Bai, Qiaoxia Qi, Danni Li, Lili Yang, Hongli Zhu

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引用次数: 0

Abstract

Objective

To analyze the factors influencing the recurrence of endometrial polyps after hysteroscopic polypectomy.

Methods

A retrospective analysis was conducted on the clinical data of 925 patients who underwent hysteroscopic polypectomy for endometrial polyps at the Affiliated Hospital of Shaanxi University of Chinese Medicine from January 2017 to December 2023. All patients were followed up for 6 months, and the factors influencing the recurrence of endometrial polyps after hysteroscopic polypectomy were analyzed.

Results

The recurrence rate of endometrial polyps after hysteroscopic polypectomy was 7.78% (72/925). Significant differences were observed between the recurrence and non-recurrence groups in terms of body mass index (BMI), menopausal status, levels of luteinizing hormone (LH), estradiol (E2), follicle-stimulating hormone (FSH), endometrial thickness, and polyp diameter (p < 0.05). Multivariate logistic regression analysis showed that high BMI, elevated levels of LH, E2, and FSH, increased endometrial thickness, and larger polyp diameter were independent risk factors for the recurrence of endometrial polyps after hysteroscopic polypectomy (odds ratio >1, p < 0.001).

Conclusion

High BMI, elevated levels of LH, E2, and FSH, increased endometrial thickness, and larger polyp diameter increase the risk of recurrence of endometrial polyps after hysteroscopic polypectomy.

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宫腔镜息肉切除术后子宫内膜息肉复发的影响因素分析

目的分析宫腔镜下子宫内膜息肉切除术后复发的影响因素。方法回顾性分析2017年1月至2023年12月在陕西中医药大学附属医院行宫腔镜息肉切除术治疗子宫内膜息肉925例患者的临床资料。所有患者随访6个月，分析宫腔镜息肉切除术后子宫内膜息肉复发的影响因素。结果宫腔镜息肉切除术后子宫内膜息肉复发率为7.78%（72/925）。复发组与非复发组在体重指数（BMI）、绝经状态、促黄体生成素（LH）、雌二醇（E2）、促卵泡激素（FSH）水平、子宫内膜厚度、息肉直径等方面均有显著差异（p < 0.05）。多因素logistic回归分析显示，高BMI、LH、E2、FSH水平升高、子宫内膜厚度增加、息肉直径增大是宫腔镜息肉切除术后子宫内膜息肉复发的独立危险因素（优势比>；1, p < 0.001）。结论高BMI、LH、E2、FSH水平升高、子宫内膜厚度增加、息肉直径增大均增加宫腔镜息肉切除术后子宫内膜息肉复发的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Obstetrics and Gynaecology Research 医学-妇产科学

CiteScore

3.10

自引率

0.00%

发文量

376

审稿时长

3-6 weeks

期刊介绍： The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.