摘要
目的运用超声检查法研究经宫颈子宫内膜切除术(TCRE)后并发症的影响因素。方法35例因异常子宫出血的患者行TCRE术,术后超声随访1a。结果术后主要临床症状为腹痛及再度出现的月经量增多,症状的高发期在术后的6 ̄12个月,超声指征为子宫测值增大和修复层厚度增加。3例(8.6%)因疼痛和月经量再次增多而切除子宫。结论超声可以及早显示TCRE术后子宫和子宫腔的变化,是指导临床治疗的有效手段。
To study the correlative factors of the complication following transcervical resection of endometrium (TCRE) with hysteroscope by ultrasonic scanning. 35 cases with abnormal uterine bleeding underwent the TCRE with an operating hysteroscope and they were followed using ultrasonography for one year. The main symptoms were abdominal pain and menorrhagia again after surgery and the fastigium of the comlication occurred from the 6 to 12 months following TCRE, which showed the incresse in the uterine size and the repair layer thickness by ultrasonography. During the follow up, 3 cases (8.6%) had undergone hysterectomy, with the pain and menorrhagia again as main indication. [Conclusions] This study shows that ultrasonography is effective method in directing medical management by displaying the early change of the uterus and uterine cavity following TCRE.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第3期231-233,236,共4页
China Journal of Endoscopy