子宫息肉患者宫腔镜息肉切除术的长期和短期疗效评估

IF 0.7 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Advanced biomedical research Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.4103/abr.abr_66_23
Maryam Hashemi, Elham S Madani, Ataallah Ghahiri, Mohammad J Tarrahi, Safoura Rouholamin
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引用次数: 0

摘要

背景:息肉是不同年龄妇女的常见病。息肉可引起从出血到不孕等各种症状,甚至可能是恶性肿瘤的诱因:这是一项在伊斯法罕进行的回顾性队列研究。本研究共纳入 1004 名患者。宫腔镜息肉切除术后,记录了患者的并发症和复发情况:结果:639 名患者(63.8%)的症状有所改善。143例(14.2%)患者的息肉复发。共有 170 人成功怀孕,其中 110 人是自然怀孕。与抓取器相比,使用剪刀的复发率较低。8例患者在治疗过程中出现并发症,其中2例为重大并发症:结论:宫腔镜息肉切除术是治疗子宫息肉的首选方法。结论:宫腔镜息肉切除术是治疗子宫息肉的首选方法。我们的研究表明,宫腔镜息肉切除术的成功率高,并发症发生率低,与抓钳相比,使用剪刀进行息肉切除术的并发症或复发风险更低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Long- and Short-Term Outcomes of Hysteroscopic Polypectomy in Patients with Uterine Polyps.

Background: Polyps are a common diagnosis in women of different ages. They can cause a variety of symptoms from bleeding to infertility and can even be the progenitor for malignancies.

Materials and methods: This was a retrospective cohort study conducted in Isfahan. A total of 1004 patients were included in this study. After hysteroscopic polypectomy, patients had their information regarding the complications and recurrence recorded.

Results: Symptoms improved in 639 (63.8%). Recurrence of polyps was seen in 143 (14.2%) patients. A total of 170 had a successful pregnancy, with 110 of them spontaneous. Using scissors had lower recurrence compared to graspers. Eight cases had complications during the treatment, two of which were major.

Conclusion: Hysteroscopic polypectomy is the treatment of choice for uterine polyps. We show hysteroscopic polypectomy to have a high success rate and a low complications rate, with polypectomies done using scissors to have lower risk of complications or recurrence compared to graspers.

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