［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 undergoing ultrasound examination. According to the postoperative pathological results, the patients were divided into endometrial 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 endometrial 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 menopausal period are at higher risk of developing endometrial polyps.]]> 2024/7/2 0:00:00 1, JIA Caili¹, PANG Zhaozi¹, LIU Chongdong²]]> LI Hongxia¹, JIA Caili¹, PANG Zhaozi¹, LIU Chongdong² 4true ［Abstract］　Objective　To explore the safety and efficacy of laparoscopic type C2 hysterectomy using autogenous tissue lifting method in treatment of early-stage cervical cancer. Methods　The clinical data of 43 patients with early-stage cervical cancer who underwent laparoscopic type C2 hysterectomy using autogenous tissue lifting method in the Department of Gynecology of People′s Hospital of Anshun City from January 2020 to September 2022 were retrospectively analyzed. The duration of operation, amount of intraoperative blood loss, length of vagina resected, number of lymph nodes resected, intraoperative and postoperative complications, time of exhaust, length of hospital stay, time of catheter extraction, results of postoperative pathological examination, postoperative adjuvant treatment and postoperative follow-up survival outcome were recorded. Results　Among the 43 patients, there were 15 patients with International Federation of Gynecology and Obstetrics(FIGO) stage ⅠB1, 15 patients with FIGO stage ⅠB2, and 13 patients with FIGO stage ⅡA1. Among the 43 patients, 37 patients suffered from squamous cell carcinoma, and 5 patients suffered from adenocarcinoma, and 1 patient suffered from adeno-squamous carcinoma. The operation time was (186.28±23.40)minutes and the intraoperative blood loss was (167.44±109.52)milliliters. Intraoperative ureteral injury occurred in 1 case and postoperative lymphorrhea occurred in 2 cases. The length of vagina resected was (3.08±0.41)centimeters, and the number of lymph nodes resected was (26.98±10.48)pieces. Twenty patients also underwent para-aortic lymph node dissection. After the operation, the patients were followed up until March 31, 2024, and it was found that 1 patient relapsed 16 months after the operation and no deaths occurred with a cumulative overall survival(OS) rate of 100.00% and a cumulative progression-free survival(PFS) rate of 97.06%. Conclusion　Application of laparoscopic type C2 hysterectomy using autogenous tissue lifting method is safe, effective, simple and easy to operate in treatment of early-stage cervical cancer. It can better follow the principle of no tumor and has a good prognosis in oncology, and is worthy of clinical promotion and application.]]> 2024/7/2 0:00:00 1, CHEN Guanmei², XU Huicheng³, WANG Yinyin², CHEN Man¹, LEI Ling²]]> LU Yingying¹, CHEN Guanmei², XU Huicheng³, WANG Yinyin², CHEN Man¹, LEI Ling² 3true ［Abstract］　Objective　To analyze the clinical effect of improved micro-incision total laparoscopic hysterectomy in treatment of benign gynecological diseases. Methods　The clinical data of 80 patients undergoing total hysterectomy due to benign uterine diseases in Department of Gynecologic Oncology Surgery, the First Affiliated Hospital of USTC West District(Anhui Provincial Cancer Hospital) from June 2023 to February 2024 were retrospectively analyzed. According to different surgical methods, the patients were divided into micro-incision group(receiving improved micro-incision total laparoscopic hysterectomy) and multi-port group(receiving traditional multi-port total laparoscopic hysterectomy), with 40 cases in each group. The operation time, amount of intraoperative blood loss, postoperative intestinal function recovery time and postoperative hospitalization time, postoperative pain scores, satisfaction scores regarding the incision and the occurrence of postoperative complications were compared between the two groups. Results　There was no significant difference in the operation time and postoperative intestinal function recovery time between the two groups(P>0.05). Compared with the multi-port group, the micro-incision group had less amount of intraoperative blood loss, lower postoperative pain scores, shorter postoperative hospitalization time, and the differences were statistically significant(P<0.05). The satisfaction scores regarding the incision in the micro-incision group were higher than those in the multi-port group, and the differences were statistically significant(t=4.135, P<0.001). There was no significant difference in the incidence rate of postoperative complications between the two groups(χ²=0.033=2.505, P=0.114). Conclusion　The improved micro-incision total laparoscopic hysterectomy is safe and reliable, with small surgical trauma, fast postoperative recovery, mild postoperative pain and high patients′ satisfaction.]]> 2024/7/2 12:19:14 CHEN Yu, XIA Bairong 2true ［Abstract］　Objective　To explore the feasibility and safety of single-port laparoscopic surgery via abdominal scar approach in treatment of gynecologic disorders. Methods　The clinical data of 26 patients who underwent single-port laparoscopic surgery via abdominal scar approach in Department of Gynecology, Changzhou No.2 People′s Hospital, the Affiliated Hospital of Nanjing Medical University from August 2019 to January 2024 were retrospectively analyzed, and the patients′ intraoperative situation and postoperative situation were summarized and analyzed. Results　The gynecologic operations performed by using single-port laparoscopy via abdominal scar approach were successfully completed in all the 26 cases. No surgical approaches were changed during the operations in the patients, and no serious complications occurred after the operations, and the patients recovered well. The operative time was 50-165(88.85±37.18)minutes, and the intraoperative blood loss was 10.00(10.00, 45.00)milliliters, and the value of the decrease in hemoglobin was 10.50(6.00, 16.50)g/L, and the postoperative hospitalization time was 3-8(5.69±1.23)days, and the total hospitalization costs were 16 675-32 802(23 068.63±4 199.00)Chinese Yuan. Conclusion　Single-port laparoscopic surgery via abdominal scar approach is safe and feasible to treat some specific gynecologic disorders in some specific patients, and has relatively good minimally invasive and cosmetic advantages.]]> 2024/7/2 0:00:00 1, WANG Yina¹, CHEN Jiming²]]> MIAO Miao¹, WANG Yina¹, CHEN Jiming² 1true