宫腔镜成形术后三维超声C平面随访不全中隔子宫患者的临床价值研究

Insufficiency in patients with uterine insulation hysteroscopy plasty surgery in March the clinical value of three-dimensional ultrasonic C plane follow-up study

目的:对不全中隔子宫患者宫腔镜成形术后3个月三维超声C平面随访的临床价值进行深入探讨和剖析。方法:随机选取20例经宫腔镜检查确诊为不全中隔子宫,并采取宫腔镜手术中隔切除治疗的患者,对其进行术后3个月三维超声C平面随访检查,并采用宫腔镜对其宫腔内情况进行复查,将随访结果与术前宫腔镜检查结果进行对比分析。结果:20例患者在宫腔镜成形术后3个月的三维超声C平面随访结果相比与术前具有明显差异,在对患者三维超声C平面检查中,子宫内的"中隔"影像依然存在,但其内膜的夹角相比与术前较大,影像长度相比较术前短;术后3个月随访中宫腔镜检查中显示,患者术中中隔切除创面已修复且呈绒毯样,其中有2例患者见宫腔内中隔切除处部分粘连,6例患者宫腔内见较短中隔突向宫腔,12例患者见宫腔内黏膜面较平。结论:对于不全中隔子宫患者而言,其接受宫腔镜成形术治疗后,短时间内三维超声C平面的检测结果以及宫腔镜下检测不一致,不建议作为临床中不全中隔子宫患者宫腔镜成形术术后随访的方式。

Objective： Hysteroscopy in patients with incomplete septum uterus keratoplasty after March on the plane follow-up the clinical value of three-dimensional ultrasound C in-depth discussion and analysis, the reference for the related personnel. Methods： Randomly selected from our hospital from May 2013 to May 2014 year received by hysteroscopy examination in the diagnosis of insufficiency isolate excision uterus and hysteroscopy surgery in treatment of 20 cases of patients with postoperative 3 months to 5 d ultrasonic C screen follow- up examination using hysteroscopy to its intrauterine condition in the process of reviewing will follow-up results and pre- operative hysteroscopy examination results were analyzed. Results： All the 20 patients at 3 months after hysteroscopy C plane three-dimensional ultrasound follow-up results compared with the preoperative has obvious differences. In C plane three-dimensional ultrasound examination, in the womb ＂septum＂ image still exist, but its lining the larger Angle compared with the preoperative, compared with the preoperative image length is shorter; Postoperative 5 months follow- up hysteroscopy examination showed intraoperative septum resection in patients with wound has been fixed and submit for the blanket sample, there are 2 patients see part adhesion caused by intrauterine septum resection of the, 6 cases with intrauterine see short septum to the uterine cavity, 12 cases with intrauterine mucosal surface is flat. Conclusion： For patients with incomplete septum uterus, the short period of time after hysteroscopy keratoplasty treatment of three- dimensional ultrasonic C plane test results and test under hysteroscopy inconsistencies, it is not recommended as a clinical patients with incomplete septum uterus hysteroscopy in keratoplasty postoperative follow-up.