Do endometrial lesions require removal? A retrospective study
Do endometrial lesions require removal? A retrospective study
复制标题
子宫内膜病变需要切除吗？
DOI：
10.1186/s12905-019-0756-8
复制
发表时间：
2019-05-06
影响因子：
2.5
通讯作者：
Zhao, Dong
中科院分区：
文献类型：
--
作者：
Jiang, Ting;Yuan, Qing;Zhao, Dong
本研究旨在探讨超声检查无症状宫内病变的处理方法。方法经阴道超声检查（TVUS）发现无症状病变，包括绝经前和绝经后子宫内膜息肉、绝经后子宫内膜增厚（ET 5mm）和重复子宫内膜异质性，并行宫腔镜诊断的患者纳入本研究。结果在792例入选患者中，TVUS检测到子宫腔内无症状局灶性肿块，其中绝经前或绝经后子宫内膜息肉558例，绝经后子宫内膜增厚234例。未见绝经前患者出现癌。在本研究中，息肉直径（PD）未被确定为恶性肿瘤的独立危险因素。P=0.036，
BackgroundThis study aimed to evaluate the management of asymptomatic intrauterine lesions detected by ultrasonography.MethodsPatients who underwent diagnostic hysteroscopy for asymptomatic lesions, including pre- and post-menopausal endometrial polyps, post-menopausal endometrial thickening (ET 5mm) and reduplicative endometrial heterogeneity detected by transvaginal ultrasonography (TVUS), were recruited for this study.ResultsIn the 792 recruited patients, the symptom-free focal masses within the uterine cavity detected by TVUS included 558 patients with pre- or post-menopausal endometrial polyps and 234 patients with postmenopausal endometrial thickening. No pre-menopausal patient presented with carcinoma. The polyp diameter (PD) was not identified as an independent risk factor for malignancy in this study. A significant difference (P=0.036,