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目的对本院近3年收治的子宫内膜息肉患者发病状况进行调查。方法采集2010年1月至2012年12月收治的子宫内膜息肉患者308例完整病历资料进行发病状况相关性调查研究,调查患病率、发病年龄、职业、地区分布、患者临床特征、诊断依据、伴有其他妇科疾病情况及治疗方法。结果 308例子宫内膜息肉患者年龄20~85岁,平均39.5岁。以每10年为1个年龄段,其中以31~40岁、41~50岁两个年龄段为多,共223例占72.40%(223/308),较其他年龄段组高,差异具有显著性(P<0.01)。职业以待业人员及工人最高共242例占78.57%(242/308),差异具有显著性(P<0.01)。地区分布市郊及邻近市郊发病率最高共154例,占50%(154/308),差异具有显著性(P<0.01)。婚育状况中已婚295例,占95.78%(295/308),未婚有性行为者13例,占4.22%(13/308)。有妊娠史者249例,占已婚人数的84.41%(249/295),不孕者58例(原发不孕46例,继发不孕12例),原发不孕46例,占15.59%(46/295)。临床症状前3位是:月经异常、不孕及性接触出血,分别为68.18%、18.83%及3.25%。手术方式前3位是:宫腔镜子宫内膜息肉电切、子宫内膜及宫颈管息肉电切、腹式全宫,分别占65.26%、13.31%及7.79%。结论子宫内膜息肉主要症状为月经异常、不孕,并常伴有其他妇科疾病,严重影响妇女的身心健康和生殖健康。超声技术及宫腔镜技术的发展有助于患者的早期诊断和治疗,伴有其他妇科疾病的患者应同步治疗。手术难度大者应配合腹腔镜及超声监测下进行,可提高手术安全性,避免和降低术中并发症。
Objective To investigate the incidence of endometrial polyps in our hospital for nearly 3 years. Methods A total of 308 cases of endometrial polyps from January 2010 to December 2012 were collected to investigate the prevalence, incidence, age, occupation, regional distribution, clinical features and diagnosis of endometrial polyps , Accompanied by other gynecological diseases and treatment. Results 308 cases of endometrial polyps aged 20 to 85 years, mean 39.5 years. Every 10 years for an age range, of which 31 to 40 years old, 41 to 50 years of age two more, a total of 223 cases accounted for 72.40% (223/308), higher than other age groups, the difference was significant (P <0.01). The highest number of unemployed persons and workers occupying a total of 78.57% (242/308) occupations, the difference was significant (P <0.01). Regional distribution Suburban and neighboring suburbs highest incidence of a total of 154 cases, accounting for 50% (154/308), the difference was significant (P <0.01). Marital status 295 married, accounting for 95.78% (295/308), unmarried sexual actors in 13 cases, accounting for 4.22% (13/308). There were 249 cases of pregnancy history, accounting for 84.41% (249/295) of married persons, 58 cases of infertility (46 cases of primary infertility, 12 cases of secondary infertility), 46 cases of primary infertility, accounting for 15.59 % (46/295). Clinical symptoms of the first three are: abnormal menstruation, infertility and sexual contact with bleeding, respectively, 68.18%, 18.83% and 3.25%. The top three surgical methods are: hysteroscopic endometrial polyps, endometrial and cervical canal polyps, abdominal whole Palace, accounting for 65.26%, 13.31% and 7.79%, respectively. Conclusion The main symptoms of endometrial polyps are abnormal menstruation, infertility, and other gynecological diseases, which seriously affect women’s physical and psychological health and reproductive health. The development of ultrasound and hysteroscopy is helpful for the early diagnosis and treatment of patients. Patients with other gynecological diseases should be treated simultaneously. Larger operatives should be laparoscopic and ultrasound monitoring carried out to improve the safety of surgery to avoid and reduce intraoperative complications.