国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (1): 42-44.

• 综述 • 上一篇    下一篇

子宫内膜息肉的诊治进展

胡小美，关铮   

  1. 100853 北京，中国人民解放军总医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-15 发布日期:2015-02-15
  • 通讯作者: 关铮

Progress in Diagnosis and Treatment on Endometrial Polyps

HU Xiao-mei， GUAN Zheng   

  1. Department of Obstetrics and Gynecology，Chinese PLA General Hospital，Beijing 100853，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-15 Online:2015-02-15
  • Contact: GUAN Zheng

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摘要： 子宫内膜息肉（endometrial polyps，EP）为妇女最常见的子宫内膜病变之一，在生育期主要表现为月经量过多、月经周期不规律、不孕等，绝经期表现为不规则阴道出血。因此，正确诊断子宫内膜息肉并给予相应的治疗是缓解及消除患者症状的关键。临床上首选超声作为诊断方法，随着宫腔镜的广泛应用，目前对EP的诊断水平有了显著提高，但仍需参考病理诊断确诊。关于对EP的治疗，临床上尚未形成明确的指南。现就其诊治进展的研究现状作一价值分析。

关键词: 子宫内膜, 息肉, 诊断, 超声检查, 宫腔镜, 妇科外科手术

Abstract: Endometrial polyps（EP） is one of the most common endometrial diseases． It is a common cause of menorrhagia，irregular menstrual cycle and infertility in premenopause，and associated with postmenopausal bleeding. So diagnosing EP correctly and then carrying out appropriate treatment has been the key to alleviate or remove patients′ symptoms. By now, transvaginal sonography is the first clinical method for diagnosing the disease. With the wide use of hysteroscopy, the level of diagnostic EP has been significantly improved, but still refer to the pathological examination. As for the treatment of EP, there has not yet formend a clear clinical guildlines. This article will review the progress in diagnosis and treatment on EP.

Key words: Endometrium, Polyps, Diagnosis, Ultrasonography, Hysteroscopes, Gynecologic surgical procedures