Application of hysteroscopy in the treatment of cervical polyp during pregnancy

doi:10.3877/cma.j.issn.1674-6899.2021.02.004

Abstract

Abstract:

Objective

To evaluate the effects of hysteroscopy in the diagnosis cervical polyp in pregnancy.

Methods

48 cases diagnosed as cervical polyp in pregnancy in Beijing Tiantan Hospital were retrospectively analyzed from Jun. 2013 to Jun. 2019. All the patients were divided into 2 groups: hysteroscopy group and conservative treatment group.

Results

Among the 48 patients, the length of cervical polyps ranged from 1.0 cm to 7.0 cm, 37 cases had single cervical polyp and 11 cases had multiple cervical polyps. 21 patients underwent hysteroscopic resection of cervical polyps (hysteroscopy group), and 27 patients were observed under conservative treatment (conservative treatment group). There was no significant difference between the two groups in age, gestational age, gravidity and parity. The incidence of recurrent vaginal bleeding, vaginitis, incidence of threatened premature labor, premature delivery and premature rupture of membranes were significantly lower in the hysteroscopy group than in the conservative treatment group (P<0.05).

Conclusions

Hysteroscopy has a high clinical value in the diagnosis and treatment of cervical polyps during pregnancy, but a larger sample size is needed for clinical observation.

Key words: Pregnancy, Cervical polyp, Hysteroscopy

Chunyu Huang, Limin Feng, Baojun Yang, Chunxia Li. Application of hysteroscopy in the treatment of cervical polyp during pregnancy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(02): 81-84.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.02.004

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I02/81

Figures/Tables 4

References 18

1	Esim Buyukbayrak E, Karageyim Karsidag AY, Kars B，et al. Cervical polyps: evaluation of routine removal and need for accompanying D&C[J]. Arch Gynecol Obstet, 2011，283(3): 581-584.
2	梅松原，魏金花，石岩，等．日间宫腔镜子宫内膜息肉切除术42例临床体会[J]．中国微创外科杂志，2015，15(7): 616-618.
3	Stamatellos I, Stamatopoulos P, Bontis J. The role of hysteroscopy in the current management of the cervical polyps[J]. Arch Gynecol Obstet, 2007，276(4): 299-303.
4	王群，吴步初，龙雯晴，等．子宫内膜息肉的发病相关高危因素分析[J]．现代妇产科进展，2015，24(7): 490-492.
5	汪希鹏．妊娠宫颈病变与妊娠晚期出血[J]．中国实用妇科与产科杂志，2011，27(6): 428-431.
6	Tokunaka M, Hasegawa J, Oba T，et al. Decidual polyps are associated with preterm delivery in cases of attempted uterine cervical polypectomy during the first and second trimester[J]．J Matern-Fetal & Neonatal Med，2015，28(9) : 1061-1063.
7	段然，漆洪波．孕期宫颈疾病所致出血的保守治疗[J]．实用妇产科杂志，2014，30(8): 565-567.
8	Younis MT, Iram S, Anwar B，et al. Women with asymptomatic cervical polyps may not need to see a gynaecologist or have them removed: an observational retrospective study of 1126 cases[J]. Eur J Obstet & Gynecol Reprod Biol, 2010，150(2): 190-194.
9	Golan A, Cohen-Sahar B, Keidar R，et al. Endometrial polyps: symptomatology, menopausal status and malignancy[J]. Gynecol Obstet Invest, 2010，70(2): 107-112.
10	吕华，冯志娟，倪俊，等．宫腔镜下电切术治疗直径大于或等于1 cm子宫颈息肉临床分析[J]. 中国妇产科临床杂志，2015，16(4): 359-361.
11	李静文，左慧萍．宫腔镜电切术治疗宫颈息肉的疗效观察[J]．中国妇产科临床杂志，2014，15(1): 72-73.
12	冯力民，张生澎．宫腔镜电切术治疗宫颈妊娠一例[J/CD]．中华腔镜外科杂志(电子版)，2009, 2(1): 53-55.
13	郄朝雍．宫腔镜下切除术治疗宫颈息肉的疗效研究[J/CD]．实用妇科内分泌电子杂志，2015，2(3): 29-30.
14	周丽，国晓梅，姜宏．宫腔镜手术患者的围手术期护理[J/CD]．中华腔镜外科杂志(电子版)，2012，5(3): 246-247.
15	张奇，冯力民．阴道内镜在门诊宫腔镜的应用[J]．实用妇产科杂志，2019，35(11): 80l-803.
16	李奇迅，徐云，冯力民，等．阴道内镜技术在宫腔镜检查中的临床应用研究[J]．中国实用妇科与产科杂志，2017，33(1): 118-121.
17	彭燕蓁，段华，成九梅，等，阴道内镜技术在门诊宫腔镜检查中的应用价值[J/CD]．中华腔镜外科杂志(电子版)，2020, 13(1): 36-40.
18	张奇，杨保军，冯力民．阴道内镜治疗妊娠期子宫颈息肉12例临床分析[J]．实用妇产科杂志，2020，36(7): 553-555.

基本情况	宫腔镜组(21例)	保守治疗组(27例)	t/Z值	P值
年龄(岁， ±s)	30.12±2.17	30.30±2.02	-0.253	0.802
孕周(周， ±s)	37.81±1.17	37.26±1.68	0.876	0.386
孕次(次)	1(1)	1(1)	-0.236	0.814
产次(次)	1(0)	1(0)	-1.119	0.263

基本情况	宫腔镜组(21例)	保守治疗组(27例)	t/Z值	P值
年龄(岁， ±s)	30.12±2.17	30.30±2.02	-0.253	0.802
孕周(周， ±s)	37.81±1.17	37.26±1.68	0.876	0.386
孕次(次)	1(1)	1(1)	-0.236	0.814
产次(次)	1(0)	1(0)	-1.119	0.263

临床特征	宫腔镜组(21例)	保守治疗组(27例)	χ²值	P值
再次阴道出血	1(4.76)	20(74.07)	23.060	<0.000
阴道炎	2(9.52)	15(55.56)	10.943	0.001
先兆早产	0(0.00)	8(29.63)	7.467	0.006
宫内感染	0(0.00)	1(3.70)	-	1.000^a
早产	1(4.76)	9(33.33)	-	0.029^a
胎膜早破	2(9.52)	10(37.04)	4.769	0.029

临床特征	宫腔镜组(21例)	保守治疗组(27例)	χ²值	P值
再次阴道出血	1(4.76)	20(74.07)	23.060	<0.000
阴道炎	2(9.52)	15(55.56)	10.943	0.001
先兆早产	0(0.00)	8(29.63)	7.467	0.006
宫内感染	0(0.00)	1(3.70)	-	1.000^a
早产	1(4.76)	9(33.33)	-	0.029^a
胎膜早破	2(9.52)	10(37.04)	4.769	0.029

[1]	Wei Xiong, Shengli Li, Qingxiu Lin, Meifang Zhang. Pregnancy outcome and prognosis of fetal lateral ventriculomegaly [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(03): 290-295.
[2]	Jing Tao, Xiaohong Li, Xi Tan, Li Chen, Aihua Yin, He Wang, Yangyu Zhao, Yong Yang, Xinwen Zhang, Xiaohui Zhang, Xueyan Wang, Dunjin Chen, Juan Du, Suhua Chen, Xiaoqing Jiang, Guoying Zhang, Li Li, Yan Zhang, Jinhua Gu, Fen Li, Lan Xie, Juanjuan Zhao, Chunhong Zhang, Jun Zhu. Technical specification for consultation on the risk of drug teratogenicity during pregnancy [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2021, 17(04): 393-401.
[3]	Jiaxin Gu, Hua Liao, Haiyan Yu. Twin pregnancy combined with hypertrophic cardiomyopathy: a case report and literature review [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2021, 17(04): 446-452.
[4]	Shuangshuang Wei, Zhifen Zhang, Dingheng Li, Jian Huang, Xuejing Jin. Diagnosis and treatment research of patient with twin ectopic pregnancy in a previous cesarean scar section: a case report and literature review [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2021, 17(04): 453-458.
[5]	Jianhong Fang, Shuhong Zhang, Min Xu, Yan Yang, Wei Lu. Effects of MTHFR gene polymorphism and serum folic acid level on pregnant women with gestational diabetes mellitus and their pregnancy outcomes [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2021, 17(03): 291-297.
[6]	Lihua Fu, Yuhong Hu, Dong Fu, Xiaodi Kang, Shuyuan Wang, Li Li. Influence of hepatitis B related liver cirrhosis on pregnancy complications and neonatal outcomes [J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2021, 15(04): 229-234.
[7]	Jialue Wang, Zi Yang. Prevention of preeclampsia in its occurrence and development [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 133-137.
[8]	Fangyu Zhu, Hongbo Qi. The problem of blood pressure reduction in women with preeclampsia [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 138-141.
[9]	Dajun Fang, Qintian Zheng. Timing of pregnancy termination and mode of delivery for patients with preeclampsia [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 151-154.
[10]	Lin Lin, Wen Sun, Yanmei Zhou, Na Feng, Changgang Wu, Yulin Wu, Dunjin Chen, Chunhong Su. Analysis of maternal and perinatal outcomes in pregnancies complicated by preeclampsia superimposed chronic hypertension and preeclampsia alone [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 155-159.
[11]	Huili Zhang, Wen Sun, Yongqiang Zhu, Lili Du, Lin Lin, Juanjuan Chen, Peili Du, Yanmei Zhou, Xueyuan Li, Dunjin Chen. Advanced maternal age impacts pregnancy outcomes in placental abruption coupled with preeclampsia [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 160-164.
[12]	Liangyu Peng, Jianhua Chen, Jing Yang. Analysis of 23 cases of maternal sepsis [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 165-168.
[13]	Hong He, Meijuan Huang, Dunjin Chen. Performance effect of simulation training for acute and severe postpartum hemorrhage to reduce the mortality rate of postpartum hemorrhage in the city from 2018 to 2019 [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 174-178.
[14]	Xiao Wu, Yongfei Yue, Ting Li, Yun Wang, Yun Qu. The impact of intraspinal analgesia on trial of labor after cesarean section [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(03): 179-183.
[15]	Cai He, Hua Yan. Research progress of ischemic heart disease during pregnancy [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2021, 15(04): 263-266.

Please choose a citation manager

Content to export