子宫内膜增生合并子宫腔粘连的临床分析

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1093 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the demographic data, clinical characteristics ,treatment and prognosis of endometrial hyperplasia with intrauterine adhesions.Methods Patients who underwent hysteroscopy for endometrial hyperplasia due to intrauterine adhesions in Beijing Tiantan Hospital from January 2018 to July 2023 were enrolled. Their medical history, clinical characteristics, and the prognosis of the cohort were analyzed retrospectively.Results Among the 12 eligible cases, hysteroscopic changes were observed as intrauterine adhesion-like changes. The pathological results showed endometrial hyperplasia. The risk factors of endometrial atypical hyperplasia are endometrium thickening, endometrial echo inhomogeneous, diabetes, menstrual disorders. The following treatments were determined according to the pathological results.Conclusions Trans-vaginal ultrasound and risk factors should be taken into considered. Attention should be paid to the abnormal morphology of endometrium during the operation. Intrauterine adhesions can coexist with endometrial hyperplasia, so estrogen treatment should be avoided before diagnosis.

Key words： intrauterine adhesions endometrial hyperplasia trans-vaginal ultrasound hysteroscopy

Received: 13 June 2023

ZTFLH:

R713.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIA Ningyi
	HAN Dan
	YANG Baojun
	XU Yun
	LI Jinghua
	FENG Limin

Cite this article:

JIA Ningyi,HAN Dan,YANG Baojun等. Clinical analysis of endometrial hyperplasia with intrauterine adhesions[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(8): 698-701.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I8/698

[1]	Hooker A B,Lemmers M,Thurkow A L,et al. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome.[J] .Hum Reprod Update, 2014, 20(2): 262-278.
[2]	李雷, 陈晓军, 崔满华, 等. 中国子宫内膜增生管理指南[J]. 中华妇产科杂志, 2022, 57 (8): 566-574.
[3]	Chandra V, Kim J J, Benbrook D M, et al. Therapeutic options for management of endometrial hyperplasia [J]. J Gynecol Oncol, 2016, 27 (1): e8.
[4]	汪世秀,朱国彬,姚融情.阴道二维超声检测子宫内膜基底部血流参数和子宫内膜厚度诊断宫腔粘连价值[J].中国计划生育学杂志,2023,31(2):389-392,396.
[5]	王威,张晓燕,卢珊,等.超声诊断子宫内膜回声不均的临床价值分析[J]. 中国超声医学杂志,2022,38(8):902-906.
[6]	中华医学会妇产科学分会. 宫腔粘连临床诊疗中国专家共识[J]. 中华妇产科杂志, 2015, 50 (12): 881-887.
[7]	马宁,夏恩兰,黄晓武,等. 子宫内膜增生患者宫腔镜下被误诊为宫腔粘连病例分析[C]. 2016北京地区妇产科学专业学术年会.
[8]	陈芳, 段华, 张颖, 等. 不同水平雌激素在宫腔粘连形成中的作用及相关机制[J]. 中华妇产科杂志, 2010, 45 (12): 917-920.
[9]	田志平,要秀娥,李艳,等. 子宫内膜非典型增生和子宫内膜癌的危险因素分析[J].中国医师杂志,2023,25(5):661-665.
[10]	Jacobs I, Gentry-Maharaj A, Burnell M, et al. Sensitivity of transvaginal ultrasound screening for endometrial cancer in postmenopausal women: a case-control study within the UKCTOCS cohort[J]. Lancet Oncol, 2011, 12 (1): 38-48.
[11]	谢加琼,邓洁,李婵玉,等. 经阴道超声在不伴有不典型子宫内膜增生随访中的价值探讨[J]. 中国计划生育和妇产科,2021,13(12):74-77.
[12]	De Franciscis P, Riemma G, Schiattarella A,et al. Concordance between the hysteroscopic diagnosis of endometrial hyperplasia and histopathological examination[J]. Diagnostics (Basel), 2019, 9 (4): 9040142.
[13]	孙小丽,赵春梅,曾俐琴,等. 诺舒子宫内膜去除术治疗月经过多合并无不典型性子宫内膜增生患者的临床分析[J]. 现代妇产科进展,2019,28(6):460-462.
[14]	桑田,翟超,李光璨,等. 宫腔粘连分离术后应用交联透明质酸钠凝胶联合阿司匹林的疗效分析[J]. 生殖医学杂志,2022,31(10):1348-1354.
[15]	Li L N,Li X D,Du J.The effect of aspirin on uterine arterial blood flow and endometrium in moderate and severe intrauterine adhesion after transcervical resection of adhesion: a systematic review and meta-analysis[J].J Matern Fetal Neonatal Med, 2023, 36: 2209818.