Berna DİLBAZ, Günsu KİMYON, Şadıman ALTINBAŞ KIYKAÇ, Runa ÖZELÇİ, Leyla ÇAKIR

Endometriyal polip ön tanısıyla operatif histeroskopi uygulanan hastaların retrospektif analizi

Amaç: Endometriyal polip ön tanısıyla operatif histeroskopi uygulanan hastaların preoperatif tanı yöntemleri, histe- roskopik bulgular, histopatolojik sonuçlar, intraoperatif komplikasyonlar açısından değerlendirilmesi Yöntem ve Gereçler: Kasım 2010 ile Mart 2013 tarihleri arasında Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim Araştırma Hastanesi Reprodüktif Endokrinoloji Kliniği’nde endometriyal polip ön tanısıyla opere edilmiş olan 139 hastanın dosyaları retrospektif olarak incelendi. Hastaların demografik özellikleri, preoperatif transvajinal ultraso- nografi (TV-USG) ve/veya salin infüzyon sonografi (SIS) bulguları, histeroskopik gözlemde intrakaviter lezyonların özellikleri ile postoperatif histopatoloji sonuçları ve intraoperatif komplikasyonları değerlendirildi. Bulgular: Çalışmaya 50’si postmenopozal dönemde olan 139 hasta dahil edildi. Hastaların ortalama yaş, gravida ve pariteleri sırasıyla 45.5 ± 11.34, 2.87 ± 2.6, 2.0 ±1.75 idi. Başvuru anında %61.2’si semptomatikti, %38.8’i ise insi- dental olarak saptanmıştı. En sık şikayet anormal uterin kanama (%32.4) idi. Histeroskopik intraoperatif gözlemin %79.1’i ve postoperatif histopatolojik bulguların %75.5’i endometriyal polip tanısı aldı. 4 hastada uterin perforas- yon, 1 hastada servikal laserasyon (n=5, %3.6) intraoperatif komplikasyon gelişti. Hiçbir olguda postoperatif geç komplikasyon görülmedi. Sonuç: Histeroskopi endometriyal patolojilerin tanısında ve tedavisinde güvenle kullanılan etkili bir yöntemdir.

A retrospective analysis of operative hysteroscopy results of the patients with a diagnosis of endometrial polyp

Aim: To evaluate the preoperative diagnostic methods, hysteroscopy results, histopathology results and intraopera- tive complications in patients, who had operative hysteroscopy with a preoperative diagnosis of endometrial polyp. Material and Methods: The records of 139 patients, who had operative hysteroscopy with a preoperative diagno- sis of endometrial polyp at Etlik Zubeyde Hanim Womens’ Health Training and Research Hospital-Reproductive Endocrinology Department between November 2010 and March 2013, were evaluated retrospectively. The patient demographic characteristics, preoperative transvaginal ultrasonography and/or saline infusion sonography findings, intracavitary lesions found in hysteroscopy, postoperative histopathology findings and intraoperative complications were evaluated. Results: A total of 139 patients, 50 of who were postmenopausal were included to the study. The mean age, gravidity and parity of the patients was 45.5 ± 11.34, 2.87 ± 2.6, 2.0 ±1.75. At the time of first visit, 61.2% of the patients were symptomatic and 38.8% were diagnosed incidentally. The most common complaint was abnormal uterine bleeding (32.4%). Endometrial polyp was diagnosed in 79.1% of the patients in hysteroscopy and 75.5% of postoperative histopathology findings were endometrial polyp. There were four uterine perforation and one cervical laceration cases (n=5, 3.6%). Postoperative late complications were not seen in any of the patients. Conclusion: Hysteroscopy is a safe and effective method in diagnosis and treatment of endometrial pathologies.

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