初级保健中的难题:所有的宫息肉都应该去除吗?
Wai Lam Chu1, Tharun Rajasekar1, Michael Ahamed1
1University of Liverpool.
概括
大多数宫息肉都是良性的,需要进一步的研究来制定管理指南. 这项研究强调,需要为全科医生提供更好的宫病理教育.
科学领域:
- 妇科 妇科医生 妇科
- 病理学 病理学 病理学
- 一般实践 一般实践
背景情况:
- 无症状宫息肉的管理缺乏明确的指导方针和文献.
- 宫息肉经常在普通医生 (GPs) 常规宫涂抹期间偶然发现.
- 目前用于对无症状宫息肉进行组织学检查的转诊途径尚不清楚.
研究的目的:
- 评估对无症状宫息肉进行多角切除术的必要性.
- 建议在一般实践中推无症状宫息肉的指导方针.
主要方法:
- 对宫息肉组织学发现的回顾性分析.
- 从切斯特伯爵夫人医院 (COCH) 病理学部门收集的数据超过九年 (2010-2019).
主要成果:
- 在514名患有宫息肉的患者中,74%无症状.
- 大约97%的转诊由全科医生 (GPs) 进行.
- 7% (74) 的转诊被认定为不适合2周的等待癌症途径.
- 没有发现恶性样本;确定了五个 (0.97%) 恶性前病变.
结论:
- 这项研究证实,大多数宫息肉都是良性的.
- 不适当的转诊表明需要加强关于宫病理的教育.
- 在一般实践中,制定强有力的指导方针来管理无症状宫息肉是必不可少的.
- 为全科医生举办关于切除息肉的研讨会,可以降低二次护理费用.
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