Maia H, Calmon L C, Marques D, Coelho J C, Oliveira M, Coutinho E M
Endoscopy Unit, CePARH, Rua Caetano Moura, 35, Federacao, Salvador, 40210-341 Bahia, Brazil.
J Am Assoc Gynecol Laparosc. 1997 Nov;4(5):577-82. doi: 10.1016/s1074-3804(05)80091-x.
To evaluate the therapeutic efficacy of polypectomy associated with endometrial resection for the treatment of polyps in postmenopausal women.
Prospective study (Canadian Task Force classification II-2).
Private urban hospital with facilities for endoscopic surgery.
Sixty-six women with endometrial polyps.
Sixty-four of the 66 patients underwent polypectomy followed by endometrial resection. One patient had hysterectomy because endometrial biopsy showed serous papillary carcinoma.
No major complications were associated with the procedure. Histopathology showed hyperplasia in most polyps. One patient had a papillary uterine carcinoma in the polyp that was not detected by preoperative endometrial biopsy. The women were followed with transvaginal sonography for 1 year after surgery.
Polypectomy followed by endometrial resection is a very low-risk procedure for postmenopausal patients. There was no recurrence after the first year in women who completed follow-up.
评估息肉切除术联合子宫内膜切除术治疗绝经后女性息肉的疗效。
前瞻性研究（加拿大工作组分类II - 2）。
设有内镜手术设施的城市私立医院。
66例患有子宫内膜息肉的女性。
66例患者中的64例接受了息肉切除术后再行子宫内膜切除术。1例患者因子宫内膜活检显示浆液性乳头状癌而接受了子宫切除术。
该手术未出现重大并发症。组织病理学显示大多数息肉有增生。1例患者息肉中存在术前子宫内膜活检未检测到的乳头状子宫癌。术后对这些女性进行了1年的经阴道超声随访。
对于绝经后患者，息肉切除术后再行子宫内膜切除术是一种风险极低的手术。完成随访的女性在术后第一年没有复发。
