宫腔镜联合B超和腹腔镜治疗难治性宫内残留物的临床观察  

Clinical Observation on the Refractoriness Intrauterine Residuum Diagnosed and Treated by Hysteroscopy Combined with B Type Ultrasound and Abdominoscope

作　　者：陈怡欢[1] 吴素芳[1] 黄奕冰[1] 

机构地区：[1]广东省揭阳市人民医院妇产科,广东揭阳515500

出　　处：《河北医学》2010年第2期147-149,共3页Hebei Medicine

摘　　要：目的:探讨宫腔镜联合B超和腹腔镜在处理难以取出的宫内残留物的有效性和安全性。方法:对25例流产后不规则阴道流血和/或B超显示宫腔内有异常回声的患者应用宫腔镜联合B超和腹腔镜进行治疗。结果:22例取物一次成功,3例术中辅助腹腔镜监护,其中1例术前考虑残留绝育器已穿透肌层,未突破浆膜,1例术前宫腔镜检查发现宫腔粘连严重,1例因B超发现多块胎骨,并且有些嵌入肌层,而且第一次未能取出全部胎骨,需行第二次手术。结论:宫腔镜联合B超和腹腔镜治疗难治性宫内残留物具有直接、准确、有效、微创等特点,可作为难治性宫内残留物的首选方法。Objective： To approach the efficacy and safety of refractoriness intrauterine residuum treated by hysteroscopy combined with B type ultrasound and abdominoscope. Method： 25 patients with irregularity vaginal bleeding after miscarriage and/or intrauterine abnormality echoic by B type uhrasound had been treated through hysteroscopy combined with B type ultrasound and abdominoscope. Result： 22 cases had succeeded once. 3 cases need abdominoscope monitoring, including 1 case with the residual intrauterine contraceptive device （IUD） had penetrated the myometrium but not penetrated the ectoptygma; 1 case had severe intrauterine adhesions; 1 case had found many pieces of fetus bone which had plug in the myometrium and could not take out in the first time, but need the second operation. Conclusion： Hysteroscopy combined with B type ultrasound and abdominoscope could take out the refractoriness intrauterine residuum directly and accurately with microtrauma, which is the first choice for treating the refractoriness intrauterine residuum.

关 键 词：宫腔镜 B超 腹腔镜 难治性宫内残留物 

分 类 号：R713.4[医药卫生—妇产科学]