国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (2): 141-144.

• 综述 • 上一篇    下一篇

子宫内膜息肉:癌症的前驱?


李文学,王晓雷
  

  1. 264200 山东省威海市妇女儿童医院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-04-15 发布日期:2012-04-15

Endometrial Polyps:the True Cancer Precursor?

LI Wen-xue,WANG Xiao-lei   

  1. Department of Gynecology,Weihai Municipal Maternal and Child Hospital,Weihai 264200,Shandong Province,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-04-15 Online:2012-04-15

摘要: 子宫内膜息肉(endometrial polyps,EPs)是常见的子宫内膜病变之一。其发病机制尚不明确,目前认为EPs是激素依赖性疾病,且有一定的恶变率。随着宫腔镜技术的应用,其检出率增高。绝经及不规则阴道出血可增加子宫内膜息肉的恶变率。目前EPs以手术治疗为主,但治疗后容易复发。因此,治疗时应结合是否有复发及恶变的高危因素,选择适当的手术方法和预防措施。对EPs及其恶变、治疗及预防之间的关系进行综述。

关键词: 息肉, 子宫内膜肿瘤, 受体, 雌激素, 孕激素类, 绝经期, 子宫出血

Abstract: Endometrial polyps (EPs) are a common endometrial lesions. Although etiology and pathogenesis of Eps are unclear until now. At present,they are considered as estrogen-dependent lesions,and some may transform into endometrial cancer. The detectable rate of Eps increases with application of hysteroscopy technology.Menopause and abnormal uterine bleeding increase the risk of endometrial polyp malignancy.At present,The primary management of Eps is surgery.But Eps are easily recur after treatment.Choosing appropriate operative treatment and preventive measure according to the high-risk factors of recurrence and malignancy.In this article the anthor reviewed EPs and its manlignancy,treatment and prevention.

Key words: Polyps, Endometrial neoplasms, Receptors, estrogen, Progestins, Menopause