How to treat endometrial polyps?

The uterus is an organ that women must protect, but it is invisibly stimulated by many factors, which can lead to a serious physical disease, endometrial polyps. The chance of recurrence after treatment of polyps is very high, which will cause repeated attacks, and the impact and harm to the uterus will also increase. However, when patients find the characteristics of the disease, they must be treated to ensure that the uterus is no longer harmed. How to treat endometrial polyps?

Treatment options

Different treatments are used depending on the size, location, shape of the polyps and the age of the patient.

1. For larger polyps with peduncles, they can be seen or felt in the lower part of the uterus. At this time, the polyps can be removed by dilating the cervix, and then cervical and uterine cavity curettage can be performed to scrape out the remaining polyps and send them for pathological examination.

2. When performing curettage on small focal or diffuse polyps, attention should be paid to scraping the entire area, especially the fundus and uterine angles.

3. After intrauterine surgery, anti-infection treatment should be carried out. Antibiotics can be given orally or intravenously in clinical practice.

4. For patients with obvious bleeding symptoms, who cannot be cured by the above treatment methods or who frequently relapse, hysterectomy should be considered.

Laser preparation

1. Same as laser treatment for cervical erosion.

2. Equipment preparation: Nd:YAG laser preparation is the same as that for cervical erosion treatment, using a power of 40 to 60W.

Hysteroscopy and endoscopic surgery

1. 5% G, S liquid is often used as uterine distension fluid.

2. Bimanual examination can help understand the position, size, shape, hardness, mobility, etc. of the uterus. Use a cervical forceps to clamp the anterior lip of the cervix, and use a probe to gently enter the uterine cavity through the cervical os to detect the depth of the uterine cavity. For those with a small cervical os (including the internal and external os), use a uterine dilator to dilate the cervix to size 6 to 6.5. 3. According to the detected cervical depth, adjust the hysteroscope limiter, insert the hysteroscope into the cervical canal, pass through the internal os, and slowly push it into the uterine cavity along the side of the uterine wall.

Turn on the cold light source, open the water injection valve, and ask the assistant to inject expansion fluid into the uterine cavity through the pressurizer. The pressure is maintained between 18 and 22 kPa (130 and 160 mmHg). Carefully find the exact location of the pedicle of the uterine polyp in the good visual space of the dilated uterus. Insert the Nd:YAG optical fiber through the rubber cap through the hysteroscopic biopsy channel. Under direct vision, insert the optical fiber into the root of the polyp to output laser. Adjust the laser output power according to the size of the polyp root. When the polyp turns crimson purple, any that can be removed from the base will be removed. For sessile and smaller polyps, the needle can be directly inserted to solidify and the whitening will stop.

Postoperative treatment: Once endometrial polyps are diagnosed, surgical removal of the polyps should be the main treatment. However, the recurrence rate of polyps is high after surgery. Therefore, the principles of Chinese medicine diagnosis and treatment should be adopted after surgery to promote the body's yin and yang balance. In addition, patients with a long course of illness often suffer from anemia due to excessive menstruation. Therefore, after polyp removal, they should be given drugs to nourish the spleen and qi, nourish the blood and produce blood to promote rapid recovery of the body. Commonly used medicines: ginseng (or codonopsis), astragalus, yam, atractylodes, jujube, longan meat, angelica, donkey-hide gelatin, rehmannia, white peony root, etc., for syndrome differentiation and treatment.

How to treat multiple endometrial polyps? The main method of treating the disease is surgery, and the choice of surgery is also very important. It is necessary to judge the woman's age, fertility, the size of the polyps and other factors in order to come up with the correct treatment plan. Polyps are a curable disease, but if the treatment is not thorough or the post-treatment care is not good, recurrence may occur. Therefore, after treatment, it is necessary to observe physical abnormalities in a timely manner and conduct reasonable examinations.