超声实时监测在计划生育介入中的应用价值  

Applicable value of real time interventional ultrasound guidance in family planning reproduction operation

作　　者：吴国平[1] 邹冬芳[1] 孙建[1] 董伟华[2] 

机构地区：[1]解放军第85医院妇产科,上海200052 [2]第二军医大学长征医院

出　　处：《介入放射学杂志》2007年第6期422-424,共3页Journal of Interventional Radiology

摘　　要：目的在计划生育中应用超声引导下监视宫腔操作,评价其临床应用价值。方法对522例高危、困难的宫腔手术采用超声引导全程监视宫腔内操作。结果4年间在计划生育手术中应用经腹实时超声引导下进行宫腔操作522例,成功率为高危妊娠287/289例,高危、困难取环129/130例。疑难宫腔手术103/103例。成功率达99.42%,未发生子宫穿孔或其他并发症。结论超声引导下实时宫腔操作使原本复杂、盲目、困难的宫内手术变得简单、安全、可靠。Objective To determine the clinical value of real time interventional ultrasound guidance in family planning reproduction operation. Methods Under the guidance of ultrasound monitoring, 522 cases with high risk and difficult uterine operation were undertaken in our department. Results The abdominal endoscopic contraceptive uterine operation under real time ultrasound monitoring was carried out for 522 cases in 4 years, with successful rates for high risk pregnancy as 287/289 cases, high risk troublesome withdrawal of contraceptive ring as 129/130 cases and puzzling uterine operation as 103/103 cases. The total successful rate reached 99.42%, without uterine rupture and other complications. Conclusion The former complex, blind and difficult uterine operations turn to be simple, safe and reliable under the guidance of real time ultrasound. （J Intervent Radiol, 2007, 16： 422-424）

关 键 词：超声引导 宫腔操作 计划生育 

分 类 号：R445.1[医药卫生—影像医学与核医学] R169.42[医药卫生—诊断学]