宫腔镜对子宫纵隔的诊疗分析

Clinical analysis of Hysteroscopy for diagnosis and treatment of septate uterus

目的探讨宫腔镜诊断和治疗纵隔子宫的价值。方法回顾性分析30例纵隔子宫的内镜特点、治疗方法及效果。结果经宫腔镜检查联合B超诊断纵隔子宫30例(完全纵隔子宫7例,不完全纵隔子宫23例)。在B超监测下行子宫纵隔切开术,平均手术时间26min(18～45min),平均出血量30ml(20～60ml),无子宫穿孔及肠管损伤等严重并发症。随访28例,其中有11例术后足月妊娠,占随访的36.7%。结论宫腔镜联合B超能较好地诊断与治疗纵隔子宫。

Objective To study clinical value of the Hysteroscopy in diagnosis and treatment for the septate uterus. Methods The data of the endoscopic features, the treatment and the efficacy of 30 cases with septate uterus were retrospectively analyzed. Results 30 cases of septate uterus were diagnosed by the hysteroscopy combined with B altrasound including 7 cases with complete septate uterus and 23 cases with incomplete scptate uterus. The average duration of operations on transcervical resection of septa was 26 rain（ 18 -45 min） and the mean operational bleeding volume was 30 ml（20 -60 ml） with serious complications such as uterine perforation and intestinal injuries. Twenty- eight cases were followed up among which 11 cases were term pregnancy accounting for 36. 7%. Conclusion Hysteroscopy combined with B -ultrasound could be good choice to diagnose and treat the septate uterus.