超声监测在宫腔镜电切术治疗纵隔子宫中的作用

Ultrasonic monitoring of resection in the treatment of uterine septum in the role of hysteroscopy

目的：探讨超声监测在宫腔镜电切术治疗纵隔子宫中的作用。方法选取2010年4月～2014年5月确诊的纵隔子宫患者56例，采用超声监测在宫腔镜电切术进行治疗，观察其治疗效果。结果纵隔子宫均一次完成纵隔电切手术,手术时间为13～28min，平均（19.43±2.73）min,术中出血量为10～50mL，平均（21.32±4.62）mL。患者术后出现阴道少量出血，2～7d后停止。术后1～3个月行宫腔镜复查，宫腔形态恢复正常,未见宫腔粘连出现。术后患者的自然流产率明显降低，足月活产分娩率明显高于术前，两组比较，差异有统计学意义（均P＜0.05）。结论超声监测在宫腔镜电切术治疗纵隔子宫具有导向作用，可提高手术的安全性和成功率，具有临床推广价值。

Objective To explore the Ultrasonic monitoring of resection in the treatment ofuterine septum in the role of hysteroscopy. Methods 56 septate uterus were selected In 2010 April to 2014 May, using ultrasonic monitoring in hysteroscopic treatment, observation of its curative effect were all observed. Results Septate uterus were complete mediastinum resection operation, operation time was 13-28min, the average （19.43±2.73） min, the amount of intraoperative bleeding was 10-50mL, average （21.32±4.62） mL. Patients appear a small amount of vaginal bleeding after 2-7d, stop. After 1-3 months follow-up hysteroscopy, uterine cavity shape back to normal, no intrauterine adhesions occur. Postoperative patients with spontaneous abortion rate decreased significantly, full-term live birth rate was significantly higher than that of pre operation, the two groups, the difference was statistically significant （P 〈 0.05）. Conclusion Ultrasonography in hysteroscopic resection in the treatment of uterine septum plays a guiding role, can improve the operation safety and success rate, it has clinical value.