超声监导:宫腔镜子宫成形术

Utrasonographic Monitoring Guidance in Hysteroscopic Metroplasty

目的:用超声法代替腹腔镜监视宫腔镜子宫成形术。材料与方法:在宫腔镜手术中将膨宫液导入子宫腔并向膀胱内注入生理盐水形成双项对比。在超声监导下经宫颈切除中隔或解除宫腔粘连。结果:切除子宫中隔24例,其中9例已妊娠并生育。5例宫腔粘连患者术后周期性腹痛消失。结论:超声监导宫腔镜子宫成形术,手术时间短、安全、且不需要同时做腹腔镜。

Purpose:Hysteroscopic metroplasty is performed with guidance of ulthrosonography in stead of laparoscopy.Material and Methods:The distending medium was inroduced into the uterus under hysteroscopy and normal saline into the bladder to creat contrasts be- tween the two ograns.The uterine septa and intrauterine synechia are resected with operating hysteroscopy through the cervix.The whole procedure was monitored by a real-time ultrosound scanner.Results:The uterine septa in 24 patients were successfuly resected with oper- ating hysteroscopy and 9 of them were later on pregnant with normal delivery.The intrauterine synechia in 5 petients were devided and the periodic abdominal pain releived.Conclusion:Hysteroscopic metroplasty with ultrasound guidance was a efficient and safe method.