1、 2023 4 28 4 Zhejiang J Trauma Surg,April 2023,Vol.28,No.4:311500,、,7.8%34.9%,1-2。,、。,3。,、4-5。,6。,。1 1.1 315,2019 4 2022 4,:7,;,。:;、。(n=150,)、(n=165,),150,(33.18 5.73),(BMI)(21.71 1.33)kg/m2。165,(32.61 3.95),BMI(21.80 1.37)kg/m2。(P 0.05)。(n=30)、(n=135)。1.2,37 d,0.4 mg,30 min【】。2019 4 2022 4 315,(n=1
2、50,)、(n=165,),;(n=30)、(n=135),Logistic。92.73%,82.67%(P 0.05)。,、(P 0.05)。1 cm、1、(P 0.05)。Logistic,、1 cm、(P 0.05)。,。【】;【】R737.3【】A doi:10.3969/j.issn.1009-7147.2023.04.056 790 2023 4 28 4 Zhejiang J Trauma Surg,April 2023,Vol.28,No.4。:,0.9%,4 10 10.5,。:,0.9%,4 10 10.5,、,12 cm/s,。1.3:、,、;,;、,。=+。:、。:、B
3、MI、(、)、。1.4 SPSS 20.0。、BMI(x s),t;(%),2。Logistic。P 0.05。2 2.1 92.73%,82.67%(P 0.05)。1。2.2,、(P 0.05)。2。2.3、1、1 cm、(P 0.05)。3。2.4 Logistic,、1 cm 1(,%)150 51(34.00)73(48.67)26(17.33)124(82.67)165 66(40.00)87(52.73)12(7.27)153(92.73)2-7.497P-0.006 2(min)(mL)(d)150 47.98 3.72 65.70 5.66 7.33 0.47 165 32.
4、50 2.81 41.19 5.96 4.22 0.54t 41.899 37.335 54.279P 0.001 0.001 0.001 3(,%)(n=30)(n=135)t/2 P 37.23 3.53 31.59 3.24 14.786 0.001BMI(kg/m 2)21.63 1.84 21.84 1.25 1.194 0.233 7(23.33)20(14.81)1.301 0.254 6(20.00)19(14.07)0.671 0.413 8(26.67)34(25.19)0.028 0.866 1 11(36.67)81(60.00)8(26.67)34(25.19)6(2
5、0.00)35(25.93)8(26.67)34(25.19)0.028 0.866 12(40.00)49(36.30)0.145 0.704 15(50.00)37(27.41)5.805 0.0165.417 0.020 1 19(63.33)54(40.00)1 17(56.67)52(38.52)3.323 0.068 1 13(43.33)83(61.48)12(40.00)103(76.30)15.311 0.001 18(60.00)32(23.70)1cm 10(33.33)96(71.11)15.249 0.001 1cm 20(66.67)39(28.89)9(30.00
6、)29(21.48)1.294 0.731 7(23.33)37(27.41)9(30.00)12(8.89)9.849 0.002 21(70.00)123(91.11)791 2023 4 28 4 Zhejiang J Trauma Surg,April 2023,Vol.28,No.4(P 0.05)。4。3、,、。,35,24%25%8,。,1.7%5.4%。,、。,。,1 cm,。,、,9。,92.73%,82.67%,、。,。10,。,;,。,、,11。,12-13。,。,。,。Logistic、1 cm,。,。,、。4 SE Wald 2 P OR 95%CI 1.781 0.
7、426 15.032 0.001 5.185 3.2618.401 1 0.789 0.416 2.052 0.078 1.895 1.0413.062 1cm 0.845 0.318 3.965 0.046 2.874 1.4256.088 0.658 0.269 2.857 0.052 2.165 1.2544.635 0.926 0.415 5.036 0.037 2.844 1.2635.412 1.156 0.403 6.458 0.008 3.870 1.6387.850792 2023 4 28 4 Zhejiang J Trauma Surg,April 2023,Vol.28
8、,No.4 1 Vitale SG,Haimovich S,Lagan AS,et al.Endometrial polyps.Anevidence-based diagnosis and management guideJ.Eur J ObstetGynecol Reprod Biol,2021,260:70-77.2 Jiang JH.Endometrial polyps J.Am J Obstet Gynecol,2022,226(5):734-735.3,.J.,2022,37(7):861-865.4,.J.,2019,24(S2):1954-1955.5,.J.,2021,27(5
9、):835-836.6 de Silva PM,Stevenson H,Smith PP,et al.Pain and operative technologies used in office hysteroscopy:a systematic review of randomized controlled trials J.J Minim Invasive Gynecol,2021,28(10):1699-1711.7,.J.,2019,34(7):1681-1683.8 Raz N,Feinmesser L,Moore O,et al.Endometrial polyps:diagno-
10、sis and treatment options-a review of literature J.Minim Inva-sive Ther Allied Technol,2021,30(5):278-287.9,.J.,2020,48(1):45-48.10,.J.,2021,36(3):719-721.11,.J.,2022,38(1):48-52.12,.J.,2020,25(S1):338-339.13,.J.,2020,49(12):1481-1484.:2023-01-16(:):317100,1-2。,3。,mpMRI【】mpMRI。2021 8 2022 12(PI-RADS
11、)3 240,CFB-8(n=60)、CFB-12(n=60)CFB-24(n=24)。,Kappa,、(NRS)。CFB-8(Kappa 0.4 0.75,P 0.05),CFB-12 CFB-24(Kappa 0.75,P 0.05);CFB-8、CFB-12 CFB-24 78.33%、88.33%93.33%;PI-RADS 4 PSA 10 g/L,CFB-24 CFB-8(P 0.05);CFB-24,NRS,CFB-8,NRS(P 0.05)。12 mpMRI,。【】;【】R699.8【】A doi:10.3969/j.issn.1009-7147.2023.04.057 793