Endometrial congestion is the only hysteroscopic finding indicative of chronic endometritis
Mayuko FuruiAyumu ItoYusuke FukudaMami SekiguchiKentaro NakaokaYuko HayashiYuko TamakiYukiko KatagiriKōichi NagaoMasahiko Nakata
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Abstract:
Chronic endometritis (CE), an inflammatory condition characterized by plasma cell infiltration within the endometrial stroma, is prevalent among women experiencing unexplained infertility or recurrent miscarriages. CE is traditionally diagnosed by endometrial biopsy using CD138 immunohistochemistry staining. Despite some studies suggesting hysteroscopy as an alternative diagnostic tool, its reliability compared with biopsy remains controversial. This study evaluated the diagnostic accuracy of hysteroscopy for CE by examining endometrial features, such as congestion, micropolyps, edema, and polyps, and comparing these with biopsy-confirmed cases of CE. This retrospective observational study was conducted at Toho University Omori Medical Center between June 2017 and November 2019 and included patients undergoing both hysteroscopy and histopathological examination. Endometrial congestion was identified as the only hysteroscopic finding significantly associated with CE, showing a moderate diagnostic agreement with biopsy results. These findings highlight the importance of further investigating hysteroscopic features of CE and their diagnostic implications and identify endometrial congestion as a potential predictive marker for CE.Keywords:
Endometrial biopsy
Endometritis
Endometrial Polyp
Endometrial Polyp
Polypectomy
Uterine cavity
Interventional radiology
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Objetctive:To explore the effects,complications and recurrence rates of different therapies of endometrial polyps with hysteroscopy.Methods:Retrospective analysis of 162 cases with different surgical hysteroscopy for endometrial polyps in patients with clinical data. Results:3 groups of patients were successfully operated,with no complications.Variation in the postoperative period,the simple hysteroscopic resection of endometrial polyps(TCRP) and TCRP plus drugs in combination therapy to reduce menstrual,and hysteroscopy dilatation and curettage after location,the difference was statistically significant.C group patients with low recurrence rate(6%) .Infertility hysteroscopic surgery in 28 patients,13 cases after a successful pregnancy.Conclusion:3 methods for endometrial polyps are safe and effective,which simply TCRP and TCRP plus drug combination therapy is better,but after dilatation and curettage hysteroscopy locate a high recurrence rate.Hysteroscopic surgery to remove endometrial polyps can significantly improve the pregnancy rate of endometrial polyps lead to infertility.
Endometrial Polyp
Curettage
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【Objective】To evaluate the diagnosistic value of hysterosscopy on endometrial polyps.【Methods】 450 patients of endom etrial polyps by ultrasonography from Feb.2007 to May.2009 were retrospectively analyzed.All patients underwent hysteroscopy and pathological examination.【Result】By hysteroscopy,it was fonnd 360 patients had endometrial polyp.The coincidence rate of physteroscopy and pathology was 92.9%,and the rate through tranvaginal B-ultrasonograpy was 76.0%.There was significant difference between them (χ2=54.964,P 0.001).【Conclusions】Hysteroscopy is more precise and direct.Hysteroscopy can be used for chech-up of endometrial polyps.
Endometrial Polyp
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Objective:To compare the difference for diagnosis endometrial polyps using transvaginal ultrasound and hysteroscopy.Methods:Fifty cases of endometrial polyps comfirmed by pathology were analyzed retrospectively.Results:Twenty cases of endometrial polyps were accurately diagnosed by transvaginal ultrasound,while 30 cases did by hysteroscopy.Conclusion:Diagnosis endometrial polyps using hysteroscopy was more accurately than transvaginal ultrasound,but it′s more expensive and complex than that.Transvaginal ultrasound can use chech-up.
Endometrial Polyp
Transvaginal ultrasound
Transvaginal ultrasonography
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Objective Analysis of hysteroscopy in the treatment of endometrial polyps in clinical results.Methods From June 2008 to October 2009 to our hospital 110 cases of endometrial polyps were treated with B-ultrasonography and hysteroscopy,two methods of endometrial polyps in clinical application.Results B ultrasound-consistent with the pathological diagnosis were 57 cases,accounting for 51.8%;does not meet the 35 patients,31.8%;uncertain in 18 cases,accounting for 16.4%.Consistent with the pathological diagnosis hysteroscopy were a total of 91 cases,82.7%;do not meet in 14 patients,12.7%;uncertain in 5 cases,4.5%.After two diagnostic conditions compared significant differences(P0.05).Conclusion Hysteroscopic diagnosis of endometrial polyps preferred method.
Endometrial Polyp
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To determine the therapeutic efficacy of the use of gall stone forceps and curettage in endometrial polyps removal, after their detection with diagnostic hysteroscopy.From 1997 to 2001, we conducted a prospective study in 53 patients who presented at our department for menstrual disorders, infertility problems or postmenopausal bleeding and in whom endometrial polyps were detected by hysteroscopy. All patients received general anesthesia and after hysteroscopic detection of the polyps' location, their removal was attempted by use of Desjardins gall stone forceps and curettage. Immediately after the procedure, a second hysteroscopy was performed in order to detect remnants of the polyps.Fifty patients presented with only one polyp, two with two polyps and one with three polyps. The mean diameter of the polyps ranged from 0.5 to 3 cm. The hysteroscopic appearance of all polyps was not suggestive of malignancy. During the second hysteroscopy we found parts or whole polyps in five and two cases, respectively, accounting for a therapeutic success of 86.8%. The hospitalization time for all patients was 24 hours and occurred no intraoperative or postoperative complications.Our method seems to be safe, with low cost and sufficient therapeutic outcome and could be used in hospitals with availability of diagnostic hysteroscopy only.
Endometrial Polyp
Curettage
Polypectomy
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Objective To analyze the diagnostic and therapeutic value of hysteroscopy in endometrial polyp(EMP).Methods The clinical data of 112 patients with endometrial polyp by pathologic diagnosis were analyzed retrospectively.All of the patients were examined and treated with hysteroscopy.For all the cases,transvaginal ultrasound had been done before hysteroscopy.Results There were 49 cases of endometrial polyps who were accurately diagnosed by transvaginal ultrasound and 92 cases by hysteroscopy.The coincidence ratio of hysteroscopy and pathological examination in diagnosing EMP was 82.14%,while that of transvaginal ultrasound and pathological examination in diagnosing EMP was 43.75%,there was significant difference between them.Misdiagnosis rate of hysteroscopy was 17.86%.Misdiagnosis of hysteroscopy were more likely endometrial hyperplasia or submucous myoma.Conclusion Diagnosis of endometrial polyps by hysteroscopy are more accurate than transvaginal ultrasound.The accurate diagnosis and the corresponding treating of hysteroscopy in endometrial polyps at the same time is possible,so hysteroscopy is worthy of clinical application.
Endometrial Polyp
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Objective To compare the difference for diagnosis endometrial polyps using transvaginal ultrasound and hysteroscopy.Methods Sixty cases of endom etrial polyps comfinm by patholocgy were analyzed retrospectively.Results Twenty-six cases of endom etrial polyps were accurately diagnosed by transvaginal.Thirty-nine cases did by hysteroscopy.Conclusison Diagnosis endom etrial polyps using hysteroscopy are more accurately than transvaginal ultrasound,endom etrial polyps can use chech-up in conclusing hysteroscopy.
Endometrial Polyp
Transvaginal ultrasound
Polypectomy
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Objective:To evaluate the value of hysteroscopy combined with transvaginalhydrolaparoscopy(THL)in the diagnosis of infertility.Methods:Twenty three patients with infertility were diagnosed by hysteroscopy and THL.Results:The successful puncture rate is 100% in THL.Hysteroscopic examinations found intrauterine diseases in 15 cases(15/23,65.2%),THL found fallopintube diseases in 2 cases(21/23,91.3%).Conclusion:Hysteroscopy combined with THL is a safe,accurate and minimally invasive method in the diagnosis of infertility patients,and it has important clinical value.
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Objective To analyze the clinical value of hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods Of 749 cases of abnormal uterine bleeding treated in our hospitals from July 2006 to March 2009,177 cases were suggested to be endometrial polyps in virginal B-ultrasonography and/or hysteroscopy. These patients with endometrial polyps underwent trartscervical resection of endometrium(TCRE)or trartscervical resection of polyp(TCRP),and the diagnostic effects between B-ultrasonography and hysteroscopy were compared. Results When compared with pathological diagnosis,the sensitivity of the diagnosis by B-ultrasonography and hysteroscopy were 65.6% and 96.0% respectively. The curative rate of abnormal uterine bleeding due to endometrial polyps was 95.2% by hysteroscopy. No complications occurred. Conclusion Hysteroscopic diagnosis of endometrial polyps is of high accuracy,good effect,minimal injury and low recurring rate. It's a good approach in the treatment of abnormal uterine bleeding resulted from endometrial polyps.
Endometrial Polyp
Uterine bleeding
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