de Los Rios P José F, López R Claudia, Cifuentes P Carolina, Angulo C Mónica, Palacios-Barahona Arlex U
Ginecol Obstet Mex. 2015 Jul;83(7):422-8.
To evaluate the effectiveness of the hysteroscopic polypectomy in terms of the decrease of the abnormal uterine bleeding.
A cross-sectional and analytical study was done with patients to whom a hysteroscopic polypectomy was done for treating the abnormal uterine bleeding, between January 2009 and December 2013. The response to the treatment was evaluated via a survey given to the patients about the behavior of the abnormal uterine bleeding after the procedure and about overall satisfaction.
The results were obtained after a hysteroscopic polypectomy done to 128 patients and were as follows. The average time from the polypectomy applied until the survey was 30.5 months, with a standard deviation of 18 months. 67.2% of the patients reported decreased abnormal uterine bleeding and the 32.8% reported a persistence of symptoms. On average 82.8% of the. patients were satisfied with the treatment. Bivariate and multivariate analysis showed no association between the variables studied and no improvement of abnormal uterine bleeding after surgery (polypectomy). There were no complications.
Hysteroscopic polypectomy is a safe surgical treatment, which decreases on two of three patients the abnormal uterine bleeding in the presence of endometrial polyps, with an acceptable level of satisfaction.
评估宫腔镜下息肉切除术在减少异常子宫出血方面的有效性。
对2009年1月至2013年12月期间因异常子宫出血接受宫腔镜下息肉切除术的患者进行了一项横断面分析研究。通过向患者进行调查，评估其术后异常子宫出血情况及总体满意度，以此来评估治疗效果。
对128例患者进行宫腔镜下息肉切除术后得出如下结果。从息肉切除到调查的平均时间为30.5个月，标准差为18个月。67.2%的患者报告异常子宫出血减少，32.8%的患者报告症状持续存在。平均82.8%的患者对治疗满意。双变量和多变量分析显示，所研究的变量之间无关联，手术后（息肉切除术）异常子宫出血无改善。无并发症发生。
宫腔镜下息肉切除术是一种安全的手术治疗方法，在存在子宫内膜息肉的情况下，能使三分之二的患者异常子宫出血减少，满意度达到可接受水平。
