宫腔镜在宫腔粘连诊治中的应用

Clinical effect of hysteroscopy for diagnosis and treatment of intrauterine adhesion

目的探讨宫腔镜诊断和治疗宫腔粘连的临床效果。方法对56例宫腔粘连患者进行宫腔镜检查,并在镜下电切分离子宫内粘连,术后予以抗生素、人工周期、IUD留置治疗。结果宫腔粘连Ⅰ度为35.7%,Ⅱ度25.0%,Ⅲ度19.6%,Ⅳ度12.5%,V度5.4%。56例患者宫腔粘连完全分离,无并发症发生。结论宫腔镜是目前诊断和治疗宫腔粘连较准确、较理想的方法,值得推广应用。

Objective To study clinical effect of hysteroscopic for diagnosis and treatment of intrauterine adhesion（IA）.Methods 56 patients with intrauterine adhesions were examined by hysteroscopy and were separated intrauterine adhesions with electrotome by hysteroscopy,who were treated with antibiotic,manpower-cycle and IUD-installed after operation.Results After hysteroscopy treatment,IA with degree I to V were found 35.7%,25.0%,19.6%,12.5%,5.4%,respectively.31 cases with intrauterine adhesions were separated completely,no-complication occured.Conclusion Hysteroscopic diagnosis and treatment of intrauterine adhesions is the optimal measure,and it deserve applying extendly.