应用Metzenbaum剪刀辅助的子宫完全纵隔剪开术的临床效果  

Clinical analysis of Metzenbaum scissors in transcervical incision of a complete septate uterus

作　　者：黄东[1] 金晓莹[1] 匡琳[1] 林小娜[1] 宋光辉[1] 周枫[1] 李超[1] 竺海燕[1] 童晓嵋[1] 张松英[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院妇产科生殖医学中心,杭州310016

出　　处：《中华医学杂志》2010年第17期1197-1199,共3页National Medical Journal of China

摘　　要：目的 评价应用Metzenbaum剪刀辅助的子宫完全纵隔剪开术的临床效果.方法 收治子宫完全纵隔患者8例,年龄24～39岁,均经宫腔镜检查确诊,应用Metzenbaum剪刀及宫腔镜直视下分别行宫颈纵隔和子宫纵隔剪开术及腹腔镜下相关疾病处理.结果 8例剪开术均一次顺利完成,无子宫穿孔、盆腔脏器损伤、水中毒等并发症出现,手术时间5～10 min.术后3个月,宫腔镜复查宫腔形态正常,无粘连及瘢痕形成.结论 应用Metzenbaum剪刀辅助剪开子宫完全纵隔的宫颈纵隔,再在宫腔镜直视下剪开宫体纵隔,操作方便、快速、安全,且不影响子宫内膜的生长.Objective To evaluate the clinical efficacy of Metzenbaum scissors in the transcervical incision of a complete septate uterus. Methods Eight patients with a complete septate uterus were identified and recruited. The age range was 24 to 39 years old. After diagnosis by hysteroscopy, the transcervical incision was performed by Metzenbaum scissors and followed by hysteroscopic incision of corporal portion. The associated diseases were treated using laparoscopy. Results All patients were successfully treated and the operation duration was 5-10 minutes. The postoperative period was uneventful and there was no perforation, pelvic organ damage or water intoxication. Three months later, hysteroscopy revealed no uterine scarring or adhesion. And the shape of uterine cavity was normal. Conclusion Using Metzenbaum scissors for transcervical incision of cervical portion of complete septate uterus, followed by hysteroscopic incision of corporal portion, is convenient, fast and safe. This approach has no effect upon the growth of endometrium.

关 键 词：子宫完全纵隔 剪刀 剪开术 

分 类 号：R713[医药卫生—妇产科学]