摘要
目的探讨宫腔镜联合B超在诊治合并子宫假道的宫腔内病变的临床价值。方法选择2010年12月~2013年12月应用宫腔镜联合B超诊治合并子宫假道宫腔病变的患者23例,年龄22~65岁。其中异常阴道出血5例,闭经1例,不孕症2例,胚物残留8例,宫内节育器取出失败5例,宫腔粘连2例。行宫腔镜联合B超检查明确诊断,必要时随即行宫腔镜电切术或取环术。结果 23例患者均在宫腔镜联合B超下明确子宫假道的诊断,随即行宫腔镜下胚物残留电切术8例,宫腔镜下取环术5例,宫腔镜下宫腔粘连电切术2例,腹腔镜下子宫假道缝合1例。手术时间为5~40 min;术中出血量5.0~30.0 m L。无子宫穿孔、空气栓塞及经尿道前列腺电切术（TURP）综合征等并发症发生。结论宫腔镜联合B超检查是确诊子宫假道的方法,对合并子宫假道患者的宫腔镜手术在严密监护下谨慎快速完成操作是可行的、安全的。
Objective To investigate the clinical value of diagnosis and treatment of intrauterine lesions associated with false passage in uterine by hysteroscopy combined B ultrasound. Methods A total of 23 patients with intrauterine lesions associated with false passage in uterine who diagnosed and treated hysteroscopy combined with B ultrasound from December 2010 to December2013 were enrolled, which aged 22- 65 years old. Among 23 cases, there were 5 cases of abnormal vaginal bleeding, 1 of amenorrhea, 2 of infertility, 8 of embryo residues, 5 of intrauterine device removal failure and 2 of intrauterine adhesions. All of them received hysteroscopy combined with B ultrasound, and performed hysteroscopy resection surgery or removal surgery in necessary.Results Twenty-three patients were diagnosed uterine false passage definitely by hysteroscopy combined B ultrasound. After that 8 cases performed hysteroscopy embryo residues resection, 5 performed removal surgery by hysteroscopy, 2 performed intrauterine adhesions resection by hysteroscopy and 1 performed laparoscopic suturing of uterine false passage. The operative time was 5- 40 minutes, and amount of blooding in operation was 5.0- 30.0 m L. There was no uterine perforation, air embolism and transurethral resection syndrome and other complications occurred. Conclusion It is demonstrated that hysteroscopy combined with B ultrasound for uterine false passage in intensive care cautious is feasible and safety.
出处
《生物医学工程与临床》
CAS
2014年第6期566-569,共4页
Biomedical Engineering and Clinical Medicine
关键词
子宫假道
宫腔镜
超声检查
uterine false passage
hysteroscopy
ultrasound examation
