Analysis on the risk factors for the occurrence of endometrial polyps in postmenopausal patients

LI Hongxia; JIA Caili; PANG Zhaozi; LIU Chongdong

doi:10.3969/j.issn.1674-3806.2024.06.04

Abstract：Objective To analyze the risk factors for the occurrence of endometrial polyps in postmenopausal patients.Methods The clinical data of 310 postmenopausal patients with endometrial thickening(endometrial thickness≥4 mm)who were admitted to Department of Obstetrics and Gynecology,Civil Aviation General Hospital from January 1,2022 to December 31,2023 were retrospectively analyzed.All the patients underwent hysteroscopic surgery after under-going ultrasound examination.According to the postoperative pathological results,the patients were divided into endo-metrial polyp group(134 cases)and non-endometrial polyp group(176 cases).The patients'clinical data were compared between the two groups.Multivariate logistic regression was applied to analyze the risk factors for the occurrence of endom-etrial polyps in the postmenopausal patients.Results There were no significant differences between the two groups in age,gravidity,parity,number of cesarean section,endometrial thickness and the proportion of the patients complicated with diabetes and obesity(P＞0.05).There were significant differences between the two groups in the proportion of the patients complicated with hypertension,vaginal bleeding and endometritis as well as menopausal period.The results of multivariate logistic regression analysis showed that endometritis,vaginal bleeding and longer menopausal period were the risk factors for the occurrence of endometrial polyps in the postmenopausal patients.Three endometrial poly patients experienced malignant transformation,all of whom were over 60 years old and had a menopausal period for more than 5 years.Conclusion The postmenopausal patients complicated with endometritis and vaginal bleeding and having longer meno-pausal period are at higher risk of developing endometrial polyps.