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首页> 外文期刊>Journal of minimally invasive gynecology >Diagnosis and management of endometrial polyps: a critical review of the literature.
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Diagnosis and management of endometrial polyps: a critical review of the literature.

机译：子宫内膜息肉的诊断和处理：文献的严格审查。

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摘要

This review article summarizes the salient literature on the diagnosis and management of endometrial polyps. Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library (including the Cochrane Database of Systematic Reviews), Current Contents, and EMBASE were searched with the MeSH terms including all subheadings and keywords endometrial polyps, abnormal uterine bleeding, polypectomy, polyp management, polyp and diagnosis, and polyp and malignancy. There is a paucity of level I evidence in the literature on the diagnosis and management of this common gynecologic disease. Noninvasive investigations such as transvaginal ultrasonography, with or without the use of 3-dimensional ultrasonography and contrast techniques remain the mainstay of first-line investigation. Hysteroscopic resection is the most effective management for endometrial polyps and allows histologic assessment, whereas blind biopsy or curettage has low diagnostic accuracy and should not be performed. This article will review the cause, epidemiology, clinical presentation, diagnostic investigations, and management of endometrial polyps.
机译：这篇综述文章总结了有关子宫内膜息肉的诊断和治疗的重要文献。电子资源，包括Medline，PubMed，CINAHL，Cochrane图书馆（包括Cochrane系统评价数据库），Current Contents和EMBASE，均使用MeSH术语进行搜索，包括所有子标题和关键词子宫内膜息肉，子宫异常出血，息肉切除术，息肉管理，息肉和诊断，息肉和恶性肿瘤。文献中关于这种常见妇科疾病的诊断和治疗的一级证据很少。无创检查（例如经阴道超声检查，无论是否使用3D超声检查和对比技术）仍然是一线检查的主要内容。宫腔镜切除术是对子宫内膜息肉最有效的治疗方法，并可以进行组织学评估，而盲法活检或刮除术的诊断准确性较低，因此不应进行宫腔镜切除术。本文将回顾子宫内膜息肉的病因，流行病学，临床表现，诊断研究和处理。

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