宫腔镜联合超声监视在宫腔中、重度粘连电切手术中的应用价值

Application value of hysteroscope combined with ultrasonic monitoring in transcervical resection of moderate to severe intrauterine adhesion

目的：探讨宫腔镜联合超声监护在宫腔粘连电切术中的应用价值。方法：对64例宫腔粘连患者施行超声监护下宫腔镜手术,其中部分粘连51例,完全宫腔粘连13例。结果：手术时间8~20 min;切开宫腔粘连时间5~8 min,平均6 min;出血量5~20 ml,平均10 ml;住院时间3~5天,平均4天。所有病例均1次手术成功,术后患者月经情况、妊娠结局较术前有明显改善（P〈0.01）。结论：超声结合宫腔镜检查是诊断宫腔粘连的较好方法,宫腔镜电切是治疗子宫腔粘连的标准术式。应用超声监护宫腔镜粘连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 explore the application value of hysteroscope combined with ultrasonic monitoring in transcervical resection of adhesion（ TCRA）. Methods： TCRA was conducted among 64 patients with intrauterine adhesion under ultrasonic monitoring,51 patients with partial intrauterine adhesion and 13 patients with complete intrauterine adhesion were included. Results： The operation time was8-20 minutes,6 minutes on average; the amount of hemorrhage was 5-20 ml,10 ml on average; the hospitalization time was 3-5 days,4 days on average. The operation was completed successfully in all the patients; after operation,menstrual situation and pregnancy outcome were improved significantly（ P 0. 01）. Conclusion： Ultrasound combined with hysteroscope is a good method for diagnosing intrauterine adhesion,TCRA is a standard surgery for treatment of intrauterine adhesion. TCRA under ultrasonic monitoring can improve the success rate of operation and reduce complications,which has important clinical application value.