Keywords
Pathogenic factors
Hysteroscopy
Dilation and curettage
Treatment effect
Safety
Submitted : 2023-11-29
Accepted : 2023-12-14
Published : 2023-12-29
Abstract
Objective: To analyze the factors related to the incidence of endometrial polyps and assess the value of hysteroscopic treatment. Methods: Fifty women with endometrial polyps admitted to the gynecology department of Xinghua People’s Hospital between January 2020 and June 2021 participated in the study. They were categorized into two groups using numerical expressions, and their uteri were analyzed. Causes and related factors of endometrial polyps were assessed. The study included 25 patients undergoing dilation and curettage (control group) and 25 patients undergoing hysteroscopy (observation group). Clinical surgical indicators, endometrial indicators, adverse reactions, and recurrence rates were compared between the two groups. Results: The observation group exhibited lower intraoperative and postoperative bleeding volumes, as well as significantly shorter operation time and hospitalization time compared to the control group (P < 0.05). The incidence rate of adverse reactions was 4.0% in the observation group, significantly lower than the 24.0% in the control group (P < 0.05). After 1 year of follow-up, the recurrence rate in the observation group was 4.0%, considerably lower than the 20.0% in the control group (P < 0.05). Conclusion: Endometrial polyps have various causes, including endometritis and long-term use of contraceptive pills use. Hysteroscopic treatment proves effective, with minimal adverse reactions and a low recurrence rate, making it a commendable surgical option for promotion.
References
Dong Y, Chen X, Da Y, 2023, The Effect of Hysteroscopic Polypectomy Combined with Doxycycline in the Treatment of Chronic Endometritis Combined with Endometrial Polyps and Its Impact on Pregnancy Outcomes. Chinese Journal of Family Planning, 31(7): 1655–1659.
Zhao B, Liang J, 2023, Comparison of the Effects of Hysteroscopic Electroresection and Cold Knife Resection in the Treatment of Endometrial Polyps. Clinical Medical Research and Practice, 8(20): 61–64.
Jiang X, Huang A, Zhou S, et al., 2023, Analysis of the Incidence Characteristics of Endometrial Polyps in Women of Childbearing Age and Risk Factors for Spontaneous Pregnancy Failure After Hysteroscopy. Chinese Journal of Eugenics and Genetics, 31(6): 1274–1278.
Li Y, Zhuang X, 2023, The Efficacy of Hysteroscopic Endometrial Polypectomy Combined with Modified Bazhen Decoction in the Treatment of Endometrial Polyps and Its Impact on Patients’ Serum ER and VEGF. Chinese Journal of Family Planning, 31(6): 1302–1305.
Zhang X, 2023, Analysis of the Effectiveness of Hysteroscopic Resection in the Treatment of Uterine Submucosal Fibroids and Endometrial Polyps. Chinese and Foreign Medicine, 42(17): 83–87.
Wang D, Sun L, 2023, Comparison of the Clinical Effects of Hysteroscopic Resection and Hysteroscopic Curettage in the Treatment of Endometrial Polyps Associated with Infertility. Electronic Journal of Modern Medicine and Health Research, 7(10): 54–56.
Wu Q, Bao X, Zheng E, 2023, Analysis of the Effectiveness of Hysteroscopic Bipolar Plasma Resection in the Treatment of Endometrial Polyps and the Factors Causing Intrauterine Adhesions. Zhejiang Trauma Surgery, 28(4): 790–793.
Dong G, Zhou Y, Duan B, et al. 2022, Comparison of the Efficacy of Hysteroscopic Resection and Dilation and Curettage in the Treatment of Endometrial Polyps Combined with Infertility and Analysis of Influencing Factors of Postoperative Pregnancy. Progress in Modern Biomedicine, 22(16): 3137–3142.
Wang R, Li J, Wang L, et al., 2022, Logistic Regression Analysis of the Efficacy of Hysteroscopic Resection in the Treatment of Endometrial Polyps and Factors Affecting Postoperative Recurrence of Patients. Progress in Modern Biomedicine, 22(12): 2313–2317.
Liu H, 2022, Analysis of Influencing Factors on Postoperative Recurrence of Endometrial Polyps in Infertile Patients Treated with Hysteroscopic Surgery. Chinese Maternal and Child Health Care, 37(2): 290–292.
Wang J, 2021, Analysis of Influencing Factors of Intrauterine Adhesions in the Treatment of Endometrial Polyps During Hysteroscopic Resection. Chinese Medicine and Clinic, 21(4): 569–571.
Huang X, 2020, Analysis of Pathogenic Factors and Hysteroscopic Treatment Effect in Patients with Endometrial Polyps. Chinese Modern Drug Application, 14(23): 83–85.
Liu Z, Zhang C, Tang Y, 2019, The Effect of Hysteroscopic Electroresection in the Treatment of Endometrial Polyps and Its Influencing Factors. Journal of Molecular Imaging, 42(2): 207–210.
Ma L, 2018, Research on Factors Related to the Incidence of Endometrial Polyps and the Effect of Hysteroscopy. Road to Health, 17(9): 161.
Cheng F, 2018, Study on the Incidence Factors of Endometrial Polyps and the Therapeutic Effect of Hysteroscopy. Clinical Research, 26(4): 71–72.