宫腔镜联合B超诊治子宫肌瘤72例分析

United Hysteroscopy diagnosis and treatment of B-analysis of 72 cases of uterine myoma

目的探讨宫腔镜联合B超诊治子宫肌瘤的临床应用价值。方法2007年1月-2008年1月我院B超诊断粘膜下子宫肌瘤、内突壁间肌瘤73例及月经过多而B超未见异常2例共75例患者,行B超联合宫腔镜诊断并在B超监测下行宫腔镜子宫肌瘤切除术(TCRM)。结果B超联合宫腔镜检查诊断粘膜下子宫肌瘤、内突壁间肌瘤72例,有1例内凸型壁间瘤位于宫角,5cm大小,行腹腔镜剜出术,71例B超监测下TCRM,手术成功率达100%。结论B超联合宫腔镜可以观察宫内病变与子宫肌壁之间的关系并消除宫腔镜的盲区,准确无误的对肌瘤进行诊断及精确定位,指导病灶切除范围,避免了子宫穿孔的可能,而且B超联合宫腔镜诊断可更好的把握手术适应证。

Objective To explore the diagnosis and treatment of B-hysteroscopy UnitedHysteromyoma clinical application. Methods： from January 2007 to January 2008 in our hospital B uhrasound diagnosis of submucous uterine myoma, with 73 cases of sudden intramural fibroids and menorrhagia no abnormal B-Example 2 a total of 75 cases of uterine cavity in patients with B-United Diagnosis and monitoring in B-downlink hysteroscopy myomectomy （ TCRM ）. Results B super diagnostic hysteroscopy United submucosal uterine fibroids, intramural fibroids in 72 cases of sudden, there is within the convex-type 1 cases of intramural tumor located in angular, 5cm size holep laparoscopic surgery, 71 cases of B-monitored TCRM, surgical success rate of over 100%. Conclusion B Ultra United hysteroscopy intrauterine lesions can be observed with the uterine wall of the relationship between muscle and eliminate the blind spot hysteroscopy, accurate diagnosis of fibroids and precise positioning, guidance lesion scope to avoid uterine perforation possible, and B-United Hysteroscopic diagnosis can better grasp the ooerative indication.