https://scholars.lib.ntu.edu.tw/handle/123456789/458278
標題: | Factors influencing the recurrence potential of benign endometrial polyps after hysteroscopic polypectomy | 作者: | JEHN-HSIAHN YANG CHIN-DER CHEN SHEE-UAN CHEN YU-SHIH YANG MEI-JOU CHEN |
公開日期: | 2015 | 卷: | 10 | 期: | 12 | 起(迄)頁: | 144857 | 來源出版物: | PLoS ONE | 摘要: | Background An endometrial polyp is a frequently encountered gynecologic disease with abnormal uterine bleeding and infertility being the two common presenting problems, and hysteroscopic polypectomy is an effective method to remove them. The postoperative polyp recurrence might result in reappearance of abnormal uterine bleeding or infertility, whereas factors influencing the postoperative recurrence potential have limited data. Methods This case-series report included 168 premenopausal women who suffered from endometrial polyps and underwent hysteroscopic polypectomy. All of them were awaiting a future pregnancy. Office hysteroscopy was done before and after hysteroscopic polypectomy, in which preoperative hysteroscopy examined the number, type, and location of endometrial polyps, and postoperative hysteroscopy checked the polyp recurrence. Surgical indications, either infertility or the presentation of abnormal uterine bleeding, and follow-up duration were recorded. Results Seventy-Three out of 168 (43%) women had polyp recurrence after hysteroscopic polypectomy. Multivariate logistic regression analysis revealed that more endometrial polyps (P = 0.015) and longer duration of follow-up (P = 0.004) were significantly associated with an increased risk of postoperative polyp recurrence. The type of endometrial polyps was not correlated with polyp recurrence potential, whereas pedunculated type endometrial polyps were closely related to the presentation of abnormal uterine bleeding (P = 0.001). Conclusions A higher number of endometrial polyps and longer follow-up duration are associated with a greater potential of polyp recurrence after hysteroscopic polypectomy. ? 2015 Yanget al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/458278 | ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0144857 | SDG/關鍵字: | adult; Article; benign tumor; case study; clinical feature; controlled study; endometrium polyp; endoscopic polypectomy; female; female infertility; follow up; human; hysteroscopic polypectomy; hysteroscopy; major clinical study; postoperative care; premenopause; preoperative evaluation; recurrence risk; risk factor; treatment indication; tumor classification; tumor localization; tumor recurrence; uterus bleeding; endometrium; hysteroscopy; Infertility, Female; multivariate analysis; parity; pathology; Polyps; postoperative complication; pregnancy; recurrent disease; retrospective study; severity of illness index; time factor; Uterine Hemorrhage; vascularization; Adult; Endometrium; Female; Follow-Up Studies; Gravidity; Humans; Hysteroscopy; Infertility, Female; Multivariate Analysis; Parity; Polyps; Postoperative Complications; Pregnancy; Premenopause; Recurrence; Retrospective Studies; Severity of Illness Index; Time Factors; Uterine Hemorrhage |
顯示於: | 醫學系 |
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