Articles Vol. 66 No. CĐ6-HNKH Bệnh viện Sản nhi Nghệ An 31/05/2025

9. EVALUATION THE OUTCOME OF HYSTEROSCOPIC POLYPECTOMY FOR UTERINE POLYPS AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL

Tran Thi Ngoc Ha1,2, Ngo Van Thanh1,2, Dau Thi Hong Quyet2,3, Vo Thi Quynh2,3
1 Nghe An Obstetric and Pediatric
2 Bệnh viện Sản Nhi Nghệ An
3 Nghe An Obstetric and Pediatric Hospital
Corresponding author: mrxuanem@gmail.com
DOI: 10.52163/yhc.v66iCD6.2271
29 Views
21 Downloads
Keywords
endometrial polyps uterine polyps hysteroscopy
Abstract

Background: Endometrial polyp is a frequent gynecological benign leison. It can lead to abnormal uterin bleeding, anemia, infertility, abortion, malignancy. Hyteroscopy has been applied at Nghe An Obstetrics and Pediatrics hospital since 2019 to investigate uterine pathologies. The aim of this study was to describe the clinical and subclinical charateristics of patients with endometrial polyps, analyse the results of treatment of endometrial polyps with hysteroscopic surgery.

Methods: Cross section.

Results: There were 112 patients included in the study. Mean age was 34,97 ± 7,65. The most common symptom was abnormal uterine bleeding (21,4%), most of the cases had no clinical sign (58,9%). There were 75,7% cases diagnosed by saline infused sonogram. The diameter of the polyps ranges mostly 10 – 20mm (50,9%). The main treatment method is using endocsopic instruments (95,5%), there was 1 case of uterin perforation (0,9%). Histopathological results: endometrial polyps 95,5%, uterine fibroids 3,6%, no maglignant case. The average length of hospical stay was 3 ± 0,5 days, most patients had menstrual cycle again after 1 month (83,3%). There was association between the treatment method and polyp size, with the value of p = 0,0001. Conclusion: Hysteroscopy is an effective and safe method to treat endometrial polyps

References
[1]
Mansour T, Chowdhury YS. Endometrial Polyp. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2024 Nov 23]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK557824/. Google Scholar
[2]
Bộ môn Phụ sản. Polyp niêm mạc tử cung. Thành phố Hồ Chí Minh: Nhà xuất bản Y học; 2011. Google Scholar
[3]
Wang N, Zhang Y, Liu B. Demographic and Clinical Features of Endometrial Polyps in Patients with Endometriosis. Biomed Res Int. 2016;2016:1460793. Google Scholar
[4]
Elfayomy AK, Soliman BS. Risk Factors Associated with the Malignant Changes of Symptomatic and Asymptomatic Endometrial Polyps in Premenopausal Women. J Obstet Gynaecol India. 2015 May;65(3):186–92. Google Scholar
[5]
Vathanan V, Armar NA. A Comparative Observational Study of the Use of Saline Uterine Hydrosonography for the Diagnosis and Assessment of Uterine Cavity Lesions in Women. Int J Reprod Med. 2016;2016:9317194. Google Scholar
[6]
Lê Duy Toàn. Nghiên cứu phương pháp siêu âm có bơm nước buồng tử cung trong chẩn đoán u xơ dưới niêm mạc và polyp buồng tử cung [Luận văn thạc sĩ y khoa]. [Hà Nội]: Trường đại học Y Hà Nội; 2007. Google Scholar
[7]
Fang L, Su Y, Guo Y, Sun Y. Value of 3-dimensional and power Doppler sonography for diagnosis of endometrial polyps. J Ultrasound Med. 2013 Feb;32(2):247–55. Google Scholar
[8]
Lê Đức Quỳnh. Nghiên cứu các tổn thương buồng tử cung qua soi buồng tử cung tại bệnh viện Phụ sản trung ương [Luận văn thạc sĩ y khoa]. [Hà Nội]: Đại học Y Hà Nội; 2017. Google Scholar
[9]
Kanthi JM, Remadevi C, Sumathy S, Sharma D, Sreedhar S, Jose A. Clinical Study of Endometrial Polyp and Role of Diagnostic Hysteroscopy and Blind Avulsion of Polyp. J Clin Diagn Res. 2016 Jun;10(6):QC01-04. Google Scholar
[10]
Fadl SA, Sabry AS, Hippe DS, Al-Obaidli A, Yousef RR, Dubinsky TJ. Diagnosing Polyps on Transvaginal Sonography: Is Sonohysterography Always Necessary? Ultrasound Q. 2018 Dec;34(4):272–7. Google Scholar