宫腔镜在诊治人流术后宫腔粘连中的临床应用

Clinical Application of Hysteroscopy in the Diagnosis and Treatment of Intrauterine Adhesions After Abortion

目的探讨宫腔镜在诊治人流术后宫腔粘连中的作用。方法 2012年1月~2015年10月我院收治的31例人流术后宫腔粘连患者,行宫腔镜检查,根据术中宫腔粘连情况,采取不同的治疗方法。结果 31例患者均有不同程度粘连,其中轻度22例,中度8例,重度粘连1例;29例术后宫腔大小、形态恢复正常,2例患者因宫腔粘连重度,未恢复宫底及双宫角形态,建议二期手术。术中未发生大出血、低钠血症、子宫穿孔等并发症。节育环于术后根据宫腔粘连情况3~6个月取出。结论宫腔镜是诊断和治疗宫腔粘连的可靠方法。

Objective To explore the significance of hysteroscopic diagnosis and treatment of 31 cases of intrauterine adhesions after abortion. Methods 31 cases of intrauterine adhesions after abortion treated by our hospital from January 2012 to October 2015 were examed by hysteroscopy and adopted different treatments according to the situation of intrauterine adhesions observed in operation. Results 31 patients had different degree of adhesion, including 22 cases with mild adhesion, 8 cases with moderate adhesion and 1 cases with severe adhesion. The size and shape of 29 cases of patients restored normal, 2 patients with severe adhesion did not restore fundus and doupion Angle form, and were suggestd to the second stage surgery. No complications such as bleeding, hyponatremia, uterus perforation occurred during operation. The contraceptive ring was took our in 3~6 months after operation by the situation of intrauterine adhesion. Conclusion Hysteroscopy is a reliable method for hysteroscopy in the diagnosis and treatment of intrauterine adhesions after abortion.