endometrial polyps
Introduction
Introduction to endometrial polyps Endometrial polyps are caused by inflammatory endometrial local blood vessels and connective tissue hyperplasia to form polypoid neoplasms into the uterine cavity. The number of polyps is different, mostly in the body of the uterus, attached to the inner wall of the uterine cavity by means of slender pedicles. Mainly manifested as prolonged menstruation and increased menstrual flow. basic knowledge Sickness ratio: 0.05% Susceptible people: women Mode of infection: non-infectious Complications: anemia
Cause
Endometrial polyps
(1) Causes of the disease
Endometrial polyps are a type of chronic endometritis.
(two) pathogenesis
Polyps consist of endometrial tissue, often with menstrual cycle changes and synchronization with the endometrium, a few polyp cells lack hormone receptors, only proliferative changes, called non-functional polyps, curettage diagnosis of endometrial polyps histology There is a complete epithelial wrap around the tissue mass, the gland is disorderly arranged, and the size can be different. The inflammatory polyp is accompanied by fibrous tissue hyperplasia, chronic inflammatory cell infiltration, and the endometrial mixed with non-functional polyps during the secretory phase. Identification, there are more smooth muscle tissue in polyps called adenomyoma type polyps, endometrial hyperplasia can be formed by polyps, some endometrial endometrium can be polypoid changes, must be combined with clinical and overall histology Comprehensive consideration of performance.
Prevention
Endometrial polyps prevention
1. Insist on exercise, enhance physical fitness and improve immunity. At the same time, maintain an optimistic mood and pay attention to adjusting your mentality.
2, pay attention to personal hygiene, menstrual hygiene, keep the vulva clean, penetrate the loose cotton suede underwear.
3, regular use of contraceptives.
4, go to the hospital regularly for gynecological examination, especially when there is genital itching, increased secretions and after surgery.
5, after the discovery of gynecological inflammation should be actively treated, found that there are endometrial polyps after surgery as soon as possible to remove.
Complication
Endometrial polyp complications Complications anemia
Excessive bleeding and anemia; secondary infection, tissue necrosis.
Symptom
Endometrial polyps symptoms Common symptoms Polyps vaginal irregular bleeding Menstrual volume
The main symptoms are increased menstrual flow or irregular uterine bleeding; polyps are seen or touched at the cervix, and the uterus is slightly enlarged.
1. Endometrial polyps are generally asymptomatic, and single-shot is less common.
2. Multiple, diffuse type often has menorrhagia, prolonged or irregular vaginal bleeding, large polyps or polyps protruding from the cervix, often secondary infection, necrosis caused by irregular vaginal bleeding and bloody secretion with malodor Things.
3. Can have infertility.
4. Postmenopausal vaginal bleeding can occur.
5. Gynecological examination of the uterus is slightly larger, such as endometrial polyps, the cervix of the elderly can be seen or touched.
Examine
Endometrial polyps
Blood routine examination, secretion examination, and tumor marker examination.
Hysteroscopy, histopathological examination:
1. Hysteroscopy can be seen in gray-red, the intimal mass of the meat-like texture protrudes in the uterine cavity, the length of the pedicle is different, the thickness is different, the diameter is 0.5 ~ 2cm, can be single or multiple, large and many can be filled The uterine cavity.
2. Uterine tubal iodine angiography showed filling defects.
3. Segmental diagnosis of endometrial biopsy, visible immature epithelium of the endometrium, showing a proliferative phase change, no secretion, sometimes with glandular hyperplasia cystic, adenomatous changes.
Diagnosis
Diagnosis and diagnosis of endometrial polyps
According to the clinical manifestations of this disease, such as vaginal bleeding as irregular bleeding, the general amount is not much, sometimes there may be more menstruation and prolonged menstruation, gynecological examination generally no abnormal findings and hysteroscopy can help diagnosis, biopsy can confirm the diagnosis.
Should be with cervical polyps, uterine submucosal fibroids, placental polyps (residual placenta retention time is too long, consisting of residual placenta and blood clots together, the peripheres are blood clots, the central part has a lot of fluff buried in the blood clot, time is not long fluff nourish The cells are still intact, the villus is degraded for a long time, the blood clot is mechanized), the dysfunctional uterine bleeding, endometrial cancer, cervical cancer, cervical erosion and intrauterine device cause uterine bleeding.
