| Objective: To investigate the curative effects of different types of hysteroscopic surgery for endometrial polyps. Methods: A total of 327 cases by different ways by hysteroscopic surgery for endometrial polyps from Nov. 1999 to Nov. 2004 were followed up. The mean age was 40±6 years. The mean follow-up was 3±0.6 years. Among 228 polyps patients in sexual maturity without desire of fertility, 53 cases underwent polypectomy with electrosurgical vaporization, and 175 cases did polypectomy with endometrial resection. 54 cases(19 cases of infertility), who desired future childbearing, did polypectomy with endometrial resection of superficial layer near the polyps. 45 postmenopausal patients did polypectomy with endometrial coagulation. Results: None of polyps recurred for postmenopausal patients. Compared with polypectomy with endometrial resection, the time of polypectomy with electrosurgical vaporization was shorter (P<0.05) and the effects was better (P<0.05) to the patients with desire of fertility. Of 19 cases of infertility, 14 cases got pregnancy after the surgery. Conclusions: The curative effects of polypectomy with electrosurgical vaporization was better than it of polypectomy with endometrial resection to the polyps patients in sexual maturity without desire of fertility. The patients who have desire ofchildbearing should undergo polypectomy with endometrial resection of superficial layer near the polyps. The postmenopausal patients should perform polypectomy with endometrial coagulation.
|
PDF Full Text Request