文章摘要

预防子宫内膜息肉术后复发的方法

作者: 1任雅梦, 2郭燕, 2张旭, 2史小荣
1 山西医科大学第一临床医学院,太原 030000
2 山西医科大学第一医院妇科,太原 030000
通讯: 史小荣 Email: sxrglj123456888@163.com
DOI: 10.3978/j.issn.2095-6959.2020.10.045

摘要

子宫内膜息肉(endometrial polyps,EP)为临床常见妇科病,发病机制尚不清晰,目前宫腔镜子宫内膜息肉切除术(transcervical resection of polyp,TCRP)为临床手术治疗息肉的主要方式,但术后仍有较高复发率,建议术后联合药物辅助治疗。目前术后辅助治疗方法较多,如孕激素、复方口服避孕药(combined oral contraceptive,COC)、抗孕激素类药物、左炔诺孕酮宫内缓释系统(levonorgestrelreleasing intrauterine system,LNG-IUS)等,临床尚无治疗指南。
关键词: 子宫内膜息肉;子宫内膜息肉切除术;预防;治疗方法

Prevention of postoperative recurrence of endometrial polyps

Authors: 1REN Yameng, 2GUO Yan, 2ZHANG Xu, 2SHI Xiaorong
1 First Medical College, First Hospital, Shanxi Medical University, Taiyuan 030000, China
2 Department of Gynecology, First Hospital, Shanxi Medical University, Taiyuan 030000, China

CorrespondingAuthor: SHI Xiaorong Email: sxrglj123456888@163.com

Abstract

Endometrial polyps (EP) is a common gynecological disease in clinic. The pathogenesis is still unclear. Currently, hysteroscopic transcervical resection of polyp (TCRP) is the main method for clinical operation of polyps, but still has higher recurrence rate. Combined with postoperative drug adjuvant therapy is recommended. At present, there are many adjuvant treatment methods, such as progesterone, compound oral contraceptive (COC), antiprogestin drugs, levonorgestrelreleasing intrauterine system (LNG-IUS), etc. There is no uniform treatment guideline in clinical practice.
Keywords: endometrial polyps; transcervical resection of polyp; prevention; treatment