超声监护在宫腔镜手术中的应用价值(附102例病例分析)  

Clinical application of transabdominal ultrasonography in monitoring hysteroscopic surgeries(Analysis of 102 cases)

作　　者：付熙[1] 丁岩[1] 古丽娜.阿 马俊旗[1] 祖菲亚.艾 王玉英[1] 

机构地区：[1]新疆医科大学第一附属医院妇科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2006年第5期392-395,共4页Journal of Xinjiang Medical University

摘　　要：目的： 探讨超声监护在宫腔镜电切术中的应用价值.方法：对102例患者施行超声监护下宫腔镜手术,其中经宫颈子宫内膜切除术（TCRE）56例,经宫颈子宫肌瘤切除术（TCRM）25例,经宫颈子宫腔内异物切除术（TCRF）8例,经宫颈子宫纵隔切除术（TCRS）8例,经宫颈子宫腔内粘连切开术（TCRA）5例.结果：术中检查宫腔深度6～12 cm,平均（7.8±1.6） cm,手术时间8～40 min,平均（18.96±1.60） min,出血量25～32 ml,平均（28.16±1.12）ml,住院时间2～ 6 d,平均（4.6±1.2）d.术中胎盘植入致子宫穿孔转开腹1例,其余均顺利完成手术.81例行TCRE、TCRM术式患者中随访77例,月经闭经11例,阴道点滴出血17例,月经量减少28例,月经无改变17例,月经改善达77.9%.结果： 在宫腔镜手术中应用超声监护对提高手术成功率、减少术后并发症的发生具有重要的临床应用价值.Objective： To evaluate application value of contrast urtrasonic study in hysteroscopic surgeries. Methods： Fifty-six patients with endometial polyps underwent transcervical resection of endometrium （TCRE）, 25 patients with submous moyma or uterine leiomoyma underwent transcervical resection of moyma （TCRM）, 8 patients with intrauterine foreign bodies underwent transcervical resection of intrauterine foreign bodies （TCRF）. 8 patients with uterine spetum underwent transcervical resection of uterine spetum （TCRS）. 5 patients with intrauterine adhesion underwent transcervical resection of intrauterine adhesion （TCRA）. The whole procedure was monitored by transabodominal uhrasounography. Results： Uterus depth 6-12 cm average（7.80±1.60）cm,operating time 8 -40 min, average （18.96±1.60） min, blood losing 25-32 ml, average （28.16± 1.12）ml,hospitalization time 2- 6 d, average（4.60± 1.20）d. One hundred and one out of the 102 patients were successfully performed operative hysteroscope. In the remaining 1 patient, uterus was perforated, who was placenta implantation case. Conclusion： Our study shows that transabdominal uhrasonograph has important value in increasing the success rate and decreasing the complication.

关 键 词：超声 监护 宫腔镜手术 

分 类 号：R616.2[医药卫生—外科学] R713[医药卫生—临床医学]