36例宫腔粘连的宫腔镜诊断与治疗

DIAGNOSIS AND THERAPY BY HYSTEROSCOPY OF 36 CASES WITH INTRAUTERINE ADHESION

目的 :观察宫腔粘连的宫腔镜诊断与治疗结果。方法 :术前阴道内放置米索前列醇 40 0 μg扩张宫颈 ,用Hegar扩张器或B超监测行宫腔镜微型剪锐性分离子宫内粘连。术后给予抗生素、激素、IUD留置治疗。结果 :36例完全分离 (10 0 % ) ,无并发症发生。经期下腹痛者 12例 ,缓解 10例 ;月经减少或闭经者 2 8例 ,恢复正常 2 1例 ;有 18例妊娠 (5 0 % ) ,受孕与月经恢复者有密切关系。结论 :宫腔镜诊治术前阴道内放置米索前列醇 40 0 μg可有效地扩张宫颈。

Objective:To observe the diagnostic and therapeutic result of intrauterine adhesion with hysteroscopy. Method:To give 400ug mifepristone in patients' vagina before therapy in order to dilate their cervix and with Hegar dilator or B ultrasound under hysteroscope separate microscopically intrauterine adhesion.Operation later followed by treatment with antibiotics,hormones and IUD.Results:Among all patients,the intrauterine adhesion were completely separated,no complications occurred,During their menstruation 12 patients had underbelly pains,but 10 cases respited their pains;Of the 28 amenorrhea or hypomenorrhea patints,21 recovered their regular menstrusation;Among all patients,18 had normal intrauterine pregnancy.Therefore,possibly the pregnancy were intimately related to menses recoveries of patients.Conclusions:While carrying out diagnostic and therapeutic hysteroscopy,It is efective for dilating patients' cervi to give 400ug mifepristone in theirvagina before therapy.In addition,the hysteroscopy was also a reliablemethod for diagnosing and treating intrauterine adhesion.