超声监护下宫腔镜电切术治疗子宫纵隔63例分析

The analysis of the ultrasound in monitoring the hysteroscope electrocision in 63 cases with uterus septa

目的探讨超声监护在宫腔镜电切术治疗子宫纵隔中的应用价值。方法回顾性分析63例在本院行超声监护下宫腔镜电切术治疗子宫纵隔患者的临床资料。结果 63例手术均顺利完成,平均手术时间为20 min,平均出血量为15 ml,平均住院时间为3 d,无一例出现子宫穿孔、水中毒等并发症。患者术后生育结局明显改善,自然流产率由术前的84.61%降至术后的13.11%;活产分娩率由术前的8.03%上升至65.57%。结论超声监护对宫腔镜电切术具有导向作用,可提高手术的安全性和成功率,可作为首选的治疗方案。

Objective To explore the application value of the ultrasound in monitoring the hysteroscope electrocision in patients with uterus septa.Methods The clinical data of 63 cases of uterus septa were performed hysteroscope electrocision monitored by ultrasound in our hospital was retrospectively analyzed.Results 63 patients were successfully completed surgery,without the complications such as uterine perforation,water intoxication.The average time for operation was 20 minutes,the average blood loss was 15 ml,and the average length of hospital stay was 3 days.The pregnant outcome of the postoperative patients was improved significantly.Spontaneous abortion rate decreased from 84.61% to 13.11%,live births increased from 8.03% to 65.57%.Conclusion Ultrasound can guide the process of the hysteroscope electrocision,thus improve the safety and the successful rate of the operation,the method can be used as the preferred treatment.