宫腔镜技术在计划生育中的临床应用

The Clinical Application of Hysteroscopy in Family Planning

目的对宫腔镜技术在计划生育中的临床应用效果展开探究。方法择选2015年8月—2016年8月所收治的60例行计划生育后出现并发症患者作为研究对象,对所选患者采用宫腔镜技术作为临床诊治方法,并对诊治效果展开观察与分析。结果 22例取环失败患者;其中12例节育环发生断裂患者经宫腔镜检查发现存在部分残留物,经异物钳取出后确认宫腔内清除干净;22例取环失败的患者在通过宫腔镜的帮助下已全部取出;18例妊娠物残留患者经宫腔镜检查发现为胎骨碎片残留,经宫腔镜下降所有碎片取出,经后期宫腔镜检查确认未有残留;对20例术后粘连患者,经宫腔镜检查后发现有8例患者为宫腔侧壁粘连,6例患者为陈旧性粘连,6例分离膜样粘连,有1例患者在实施粘连分离术时发生了分离困难现象,后经腹腔镜定位顺利完成。所有患者在完成手术后均未出现月经异常、腹痛、阴道出血等不良症状,对此,手术完全成功。结论对计划生育患者应用宫腔镜技术进行治疗能有效提高手术效率,减少对患者身体带来的其它损伤,且术后康复效果更好。

Objective To explore the clinical application effect of hysteroscopy in the family planning. Methods 60 cases of patients with complications occurred after family planning who were treated in our hospital from August 2015 to August 2016 were selected as subject of this study. Hysteroscopy was used as the clinical method for the selected patients, and the diagnosis and treatment effect were observed and analyzed. Results 22 patients were failed removal of intrauterine device, among which, 12 patients with broken intrauterine device was found with some residues by hysteroscopy examination, and clean uterine cavity was confirmed after removal of residues by foreign body clamp. All the residues of 22 patients with failed removal of intrauterine device were removed with the help of hysteroscopy. 18 patients with residual pregnancy were found with fetal bone fragments by hysteroscopy, all being removed with the help of hysteroscopy without residue confirmation by later hysteroscopy examination. In the 20 patients with postoperative adhesions, 8 patients were found with uterine wall adhesions, 6 patients with stale adhesions, 6 patients with membrane-like adhesions by hysteroscopy examination, and 1 patient with difficulty separation during adhesion separation operation which was successfully completed by laparoscopic positioning. Abnormal menstruation, stomach ache, vaginal bleeding and other adverse symptoms after surgery were not observed for all patients, indicating completely successful operation. Conclusion The treatment to patient undertaken family planning by hysteroscopy can improve the operation efficiency, reduce other body damages to patients, and postoperative rehabilitation effect is better.