宫腔镜联合超声监护在子宫纵隔电切手术中的应用价值

Applicate evaluation of hysteroscope combined with ultrasonograph monitoring in the transcervical resection of uterine spetum(TCRS)

目的探讨宫腔镜及超声监护在子宫纵隔电切术中的应用价值。方法对64例子宫纵隔患者施行超声监护下宫腔镜子宫纵隔电切手术。其中不完全纵隔51例,完全纵隔13例。结果 :手术时间8～20min;切开子宫纵隔时间5～8min,平均6min;出血量5～20ml,平均10ml;住院时间5～6d,平均5d。所有病例均一次手术成功,术后患者妊娠结局较术前有明显改善(P<0.001)。超声结合宫腔镜检查是诊断子宫纵隔的较好方法。结论宫腔镜电切是治疗子宫纵隔的标准术式,应用超声监护下宫腔镜纵隔手术可提高手术成功率,减少并发症,具有重要临床应用价值。

Objective To evaluate application value of hysteroscope combined with ultrasonograph in TCRS.Methods 64 patients were with uterine septum underwent TCRS,in which incomplete uterine septum was 51 cases and complete uterine septum was 13 cases.The whole procedure was monitored by transabodominal ultrasound.Results Operating time was 8~20 minutes,resection of uterine septum time was 5~8 minutes,average of 6 minutes,blood loss was 5~20 ml with average of 10 ml,hospitation time was 5~ 6 days with average of 5 days.All of patients were successfully performed operative hysteroscope,whose pregnant results get better progess compared with pre-TCRS（P0.001）.Conclusion Hysteroscope combined with ultrasonograph was the better diagnose method for uterine septum;hysteroscopic operation was standard operation method for uterine septum;transabdominal ultrasonograph has important value in increasing the successful rate and decreasing the complications on TCRS.