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| Analysis of pathological characteristics and postoperative recurrence situation of endometrial polyps of infertility women with endometriosis |
| Peace Branch, Northern Theater General Hospital, Shenyang, Liaoning Province, 110000 |
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Abstract To analyze the situation of endometrial polyps of infertility women with endometriosis (EM), and to study the pathological characteristics of EM. Methods: 67 infertility women with EM were selected in observation group, and 82 infertility women without EM were selected in control group from January 2016 to January 2017. The incidence of endometrial polyps of the women was compared between the two groups. In the observation group, the incidence of endometrial polyps of the women with different revised American fertility society (r-AFS) stages and the clinical pregnancy rate after treatment of the women were analyzed. The pathological characteristics of endometrial polyps of the infertile women with EM were also analyzed. Results: The incidence of endometrial polyps (31.3%) and the recurrence rate of endometrial polyps (11.9%) of the women in the observation group were significant higher than those (12.2% and 2.4%) of the women in the control group (P＜0.05). The incidence of endometrial polyps of the women with r-AFSⅠstage in the observation group was 17.7%, but their endometrial polyps had no recurrence. The incidence of endometrial polyps of the women with r-AFS Ⅱ stage in the observation group was 32.0%, and the recurrence rate of their endometrial polyps was 8.0%. The incidence of endometrial polyps of the women with r-AFS Ⅲ stage in the observation group was 40.0%, and the recurrence rate of their endometrial polyps was 20.0%. The incidence of endometrial polyps of the women with r-AFS Ⅳ stage in the observation group was 40.0%, and the recurrence rate of their endometrial polyps was 30.0% . There were no significant differences in the incidence and recurrence rate of endometrial polyps among the women with different r-AFS stages in the observation group (P>0.05). The incidence of endometrial polyps of the women with ovarian EM was 25.0%, and the recurrence rate of their endometrial polyps was 10.0%. The incidence of endometrial polyps of the women with peritoneum EM was 29.0%, and the recurrence rate of their endometrial polyps was 9.7%. The incidence of endometrial polyps of the women with DIE EM was 43.8%, and the recurrence rate of their endometrial polyps was 18.8%. There were no significant differences in the incidence and recurrence rate of endometrial polyps among the women with different pathological types of EM (P>0.05). Conclusion: The infertility women with EM have a high risk of endometrial polyps, and surgical treatment endometrial polyps timely can improve their pregnancy rate. It is suggested that early diagnosis and treatment for infertility women with EM should be conducted in clinical practice.
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