【摘要】 目的探讨B超监测在畸形子宫宫腔手术中的临床应用价值。方法回顾性分析我院B超监测下施行宫腔手术的195例畸形子宫病例的相关临床数据。结果 1195例畸形子宫类型中,双子宫73例,纵隔子宫95例,双角子宫10例,弓形子宫17例;2B超监测引导下施行早孕人工流产或清宫术162例,手术一次成功155例(95.7%),二次清宫6例(3.7%),失败1例(0.6%);引产或产后胎盘残留清宫术9例,手术一次成功5例,二次清宫4例;诊断性刮宫或/及取环术24例,手术均一次成功;3畸形子宫人流清宫术需二次清宫与合并其他高危因素相关,高危因素风险依次为产后胎盘残留、稽留流产、宫角妊娠。结论 B超监测下对畸形子宫施行宫腔手术克服了传统宫腔操作的盲目性,减少了子宫内膜损伤,避免了漏吸、子宫穿孔等并发症的发生,提高了手术的安全性和成功率,同时又为及时修复子宫内膜提供依据。更多还原

【Abstract】 Objective To evaluate the value of B-mode ultrasound guidance in intrauterine operations for malformed uteruses. Methods The data of 195 cases of intrauterine operations for malformed uteruses under B-mode ultrasound guidance in our hospital was analyed retrospectively. Results 1In these 195 cases of malformed uteruses,included 73 cases of didelphys,95 cases of septate,10 cases of bicornuate uterus,and 17 cases of arcuate uterus. 2One-time successful rate for artificial abortion for early pregnancy under ultrasound guidance was 95.7%(155/162),two-time successful rate of curettage was 3.7%(6/162),only one case failed(0.6%). 9 cases of residual placenta with uterine curettage,one-time successful rate was 5/9,two-time successful rate of curettage was 4/9. 24 cases for diagnostic curettage and IUD extraction had been done successfully. The second time of uterine curettage was correlated with some high risk factors including residual placenta,missed abortion,angular pregnancy.Conclusion B-mode ultrasound guidance is a safe and useful method for the malformed uteruses intrauterine operations in increasing operative effectiveness,decreasing complications occurrence,and providing evidence for repairing endometrium.更多还原