Céspedes Martínez M A, Rovira Pampalona J, Degollada Bastos M, Izquierdo Argelich R, Bou Tapias J, Flores Laura M D, Brescó Torras P, Carugno Jose M D
Facts Views Vis Obgyn. 2022 Dec;14(4):325-329. doi: 10.52054/FVVO.14.4.045.
Endometrial polyps are a common cause of abnormal uterine bleeding. In-office hysteroscopic management is frequently performed to treat this frequently encountered pathology.
To evaluate the long-term outcome and patients' satisfaction with office hysteroscopic polypectomy in patients with symptomatic endometrial polyps.
Retrospective longitudinal observational study of all hysteroscopic polypectomies performed at d'Igualada University Hospital (Barcelona, Spain) between May 2016 and December 2018. The medical records were reviewed, and a telephone interview was conducted with all the patients diagnosed with symptomatic endometrial polyps who underwent outpatient hysteroscopic polypectomy, with the purpose of evaluating the post-procedure symptomatology and satisfaction with the procedure.
A total of 848 outpatient hysteroscopies were performed, 379 of which were polypectomies. Of those, 163 procedures were performed in symptomatic patients and were included in the final analysis. The most common symptom among premenopausal patients was abnormal uterine bleeding (84.85%) and in postmenopausal women, postmenopausal bleeding (95.3%). After the procedure, the symptoms resolved or decreased considerably in 66.7% of premenopausal and 93.7% of postmenopausal patients. Additionally, 87.1% of the patients were very satisfied with the procedure.
Office hysteroscopic polypectomy is an effective treatment for endometrial polyps with high patient satisfaction reported following the procedure.
子宫内膜息肉是子宫异常出血的常见原因。门诊宫腔镜手术常用于治疗这种常见病症。
评估有症状的子宫内膜息肉患者门诊宫腔镜息肉切除术的长期疗效及患者满意度。
对2016年5月至2018年12月在西班牙巴塞罗那伊瓜拉达大学医院进行的所有宫腔镜息肉切除术进行回顾性纵向观察研究。查阅病历，并对所有诊断为有症状的子宫内膜息肉且接受门诊宫腔镜息肉切除术的患者进行电话访谈，以评估术后症状及对手术的满意度。
共进行了848例门诊宫腔镜检查，其中379例为息肉切除术。其中，163例手术在有症状的患者中进行，并纳入最终分析。绝经前患者最常见的症状是子宫异常出血（84.85%），绝经后女性为绝经后出血（95.3%）。术后，66.7%的绝经前患者和93.7%的绝经后患者症状缓解或明显减轻。此外，87.1%的患者对手术非常满意。
门诊宫腔镜息肉切除术是治疗子宫内膜息肉的有效方法，术后患者满意度较高。
