Department of Neuroscience and Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Pansini 5, Naples, Italy.
Department of Obstetrics and Gynecology, University Hospital of Palermo "P. Giaccone", Via Alfonzo Giordano 3, Palermo, Italy.
Best Pract Res Clin Obstet Gynaecol. 2015 Oct;29(7):908-19. doi: 10.1016/j.bpobgyn.2015.06.005. Epub 2015 Jun 25.
This article summarizes and analyzes the salient topics on the diagnosis and management of endometrial polyps, focusing on the role of the hysteroscopy. Noninvasive investigations such as transvaginal ultrasonography, with or without the use of three-dimensional ultrasonography (3D US) and contrast techniques, remain the mainstay of first-line investigation. Hysteroscopic resection represents the gold standard minimally invasive treatment for endometrial polyps. It is the most effective management and allows histologic assessment, whereas blind biopsy or curettage have low diagnostic accuracy and should not be performed.
本文总结和分析了子宫内膜息肉的诊断和管理方面的突出问题,重点介绍了宫腔镜的作用。经阴道超声检查(TVUS)等非侵入性检查,无论是否使用三维超声(3D US)和对比技术,仍然是一线检查的主要手段。宫腔镜切除术是子宫内膜息肉的金标准微创治疗方法。它是最有效的治疗方法,并且可以进行组织学评估,而盲目活检或刮宫术的诊断准确性较低,不应进行。