title: [Clinical study of different forms of hysteroscopic surgery for endometrial polyps].
abstract: OBJECTIVE
  To investigate the curative effects of different types of hysteroscopic surgery for endometrial polyps.
  
  
  METHODS
  A total of 327 cases by different ways of hysteroscopic surgery for endometrial polyps from Nov 1999 to Nov 2004 were followed up. The mean age was (40 +/- 6) years. The mean follow-up was (3.0 +/- 0.6) years. Among 228 polyps patients in sexual maturity without desire of maintaining fertility, 53 (group A) underwent polypectomy with electrosurgical vaporization, and 175 cases (group B) did polypectomy with endometrial resection. Fifty-four (group C) cases (19 cases of infertility), who desired future childbearing, did polypectomy with endometrial resection of superficial layer near the polyps. Forty-five postmenopausal patients (group D) did polypectomy with endometrial coagulation.
  
  
  RESULTS
  The time of operation: group A (15.1 +/- 0.8) second, group B (19.7 +/- 0.7) second, group C (20.9 +/- 0.7) second, and group D (22.1 +/- 0.8) second. None of the polyps recurred for the patients of groups A and D after operation, and the recurrent rate of groups B and C was 1.7% and 7.4%. There were no cases with amenorrhea in group C, who hoped to keep the function of fertility, but the recurrent rate of polyps was higher than other three groups. Of 19 cases of infertility, 14 cases became pregnant after the surgery.
  
  
  CONCLUSIONS
  It is feasible to select different hysteroscopic surgery for endometrial polyps, according to different ages and the desire of childbearing of the patients.
authors.affiliation: Department of Gynecology, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Ding
authors.forename: Gu-qun
authors.initials: GQ
authors.lastname: Shen
authors.forename: Jun-qi
authors.initials: JQ
authors.lastname: Ma
authors.forename: Aixingzi
authors.initials: A
authors.lastname: Aili
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery*; D004717:Endometrium / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007247:Infertility, Female / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011127:Polyps / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome