外伤性子宫内粘连的宫腔镜诊断和治疗(70例临床分析)  

HYSTEROSCOPIC DIAGNOSIS AND TREATMENT OF TRAUMATIC INTRAUTERINE ADHESIONS: CLINICAL ANALYSIS OF 70 CASES

作　　者：冯缵冲[1] 黄玉莲[1] 曾凤珍 孙菊芳[2] 杨邦元[2] 薛璧如 沈珠 庄留琪[2] 

机构地区：[1]上海市计划生育科学研究所 [2]中国福利会国际和平妇幼保健院 [3]上海市卢湾区中心医院

出　　处：《上海医学》1988年第8期439-442,共4页Shanghai Medical Journal

摘　　要：本文报道应用宫腔镜诊断和治疗70例外伤性子宫内粘连的经验和体会。经1~3次宫腔镜手术后子宫内粘连被完全分离者68例(97.14%);64例术前有闭经或月经减少者中有54例月经恢复正常(84.38%);要求生育的35例中有30例妊娠(85.71%),17例已足月分娩(56.67%)。临床实践证明宫腔镜在诊治外伤性子宫内粘连是有其实用价值的。This paper presents the experience and results of hysteroscopic diagnosis and treatment in 70 cases with traumatic intrauterine adhesions.In 68 out of the 70 cases the intrauterine adhesions were removed successfully after 1-3 times of hysteroscopic surgery(97.14%).Of the 64 patients with amenorrhea or hypomenorrhea before treatment,54 regained normal regular menstruation(84.38%).In 30 out of the 35 cases had intrauterine pregnancy more than 6 months after the withdrawal of contraception(85.71%).The postpartum courses were found uneventful in 18 cases who delivered at term.Hysteroscopy has improved the diagnosis and management of traumatic intrauterine adhesions.

关 键 词：子宫内 宫腔镜检查 外伤性 粘连部位 治疗后 宫腔粘连 自然流产 

分 类 号：R71[医药卫生—妇产科学]