目的:本临床实践指南的主要目的是为妇科医生提供指导子宫内膜息肉诊断和治疗的算法和证据。
方法:所有有症状或无症状的子宫内膜息肉患者。
方法:治疗子宫内膜息肉的选择包括期待,medical,和手术管理。这些将取决于症状,恶性肿瘤的风险,耐心的选择。
结果:结果包括症状的缓解,组织病理学诊断,并完全切除息肉。
结果:本指南的实施旨在使有症状或无症状的子宫内膜息肉患者受益,并为医生提供基于证据的诊断和治疗方法(包括期待,medical,和手术治疗)息肉。
方法:在PubMed/Medline和Cochrane中输入以下搜索词:子宫内膜息肉,息肉,子宫内膜增厚,异常子宫出血,绝经后出血,子宫内膜增生,子宫内膜癌,激素治疗,女性不孕症。所有文章都包括在截至2021年的文献检索中,包括以下研究类型:随机对照试验,荟萃分析,系统评价,观察性研究,和病例报告。从这些文章的参考书目中确定了其他出版物。仅审查了英语文章。
方法:作者使用建议分级评估对证据质量和建议强度进行了评估,开发和评估(等级)方法。见在线附录A(表A1的定义和A2的强和弱的建议的解释)。
■妇科医生,家庭医生,注册护士,执业护士,医学生,居民和研究员。
结论:子宫息肉常见,可引起异常出血,不孕症,或绝经后出血。如果病人没有症状,治疗往往是不必要的。息肉可以用药物治疗,但通常需要手术。
OBJECTIVE: The primary objective of this clinical practice
guideline is to provide gynaecologists with an algorithm and evidence to guide the diagnosis and management of endometrial polyps.
METHODS: All patients with symptomatic or asymptomatic endometrial polyps.
METHODS: Options for management of endometrial polyps include expectant, medical, and surgical management. These will depend on symptoms, risks for malignancy, and patient choice.
RESULTS: Outcomes include resolution of symptoms, histopathological diagnosis, and complete removal of the polyp.
RESULTS: The implementation of this
guideline aims to benefit patients with symptomatic or asymptomatic endometrial polyps and provide physicians with an evidence-based approach toward diagnosis and management (including expectant, medical, and surgical management) of polyps.
METHODS: The following search terms were entered into PubMed/Medline and Cochrane: endometrial polyps, polyps, endometrial thickening, abnormal uterine bleeding, postmenopausal bleeding, endometrial hyperplasia, endometrial cancer, hormonal therapy, female infertility. All articles were included in the literature search up to 2021 and the following study types were included: randomized controlled trials, meta-analyses, systematic reviews, observational studies, and case reports. Additional publications were identified from the bibliographies of these articles. Only English-language articles were reviewed.
METHODS: The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See Appendix A (Tables A1 for definitions and A2 for interpretations of strong and weak recommendations).
UNASSIGNED: Gynaecologists, family physicians, registered nurses, nurse practitioners, medical students, and residents and fellows.
CONCLUSIONS: Uterine polyps are common and can cause abnormal bleeding, infertility, or bleeding after menopause. If patients don\'t experience symptoms, treatment is often not necessary. Polyps can be treated with medication but often a surgery will be necessary.
CONCLUSIONS: RECOMMENDATIONS.