腹部超声监护在经阴道宫腔手术中的作用

The effect of abdominal ultrasonography monitoring in trans-vaginal uterine cavity operation

目的探讨腹部超声监护在经阴道宫腔手术中的作用。方法从2001年11月1日至2004年5月31日,对1527例经阴道宫腔手术进行术中监护,其中高危人流清腔术867例,宫腔镜手术660例。结果867例高危人流清腔术除6例失败外,其余均获成功,手术成功率为99.31%。宫腔镜手术660例,包括通液术514例,取环术91例,宫腔粘连分解术及纵膈切开术55例,除3例宫腔镜通液术失败及4例宫腔镜取环术因外院取环后节育器断裂嵌入肌层而无法取净外,余手术均顺利完成,手术成功率为99.09%。结论:在腹部超声监护下进行疑难宫腔手术提高了手术成功率,故值得在临床推广应用。

Objective To study the effect of abdominal ultrasonography monitoring in tran-vaginal uterine cavity operation. Methods From 1st Nov.2001 to 31st May.2004. 1527 patients were monitored by abdominal ultrasonography during trans-vaginal uterus cavity operation, including 867 cases of high risky induced abortion and 660 cases of hysteroscopic operation. Results Except 6 patients among 867 patients of high risky induced abortion and 3 cases of hydrotubation and 4 cases of removal intrauterus device by hysteroscope among 660 patients were failed. Others were all success and the success rate were 99.31% and 99.09% respectively. Conclusion Abdominal ultrasonography monitoring in difficult uterine cavity operation is worth to be recommended which it increases the success rate of operation .