宫腔镜电切术治疗宫腔粘连的效果  

HYSTEROSCOPIC ELECTROCISION IN THE TREATMENT OF INTRAUTERINE ADHESIONS

作　　者：王琦[1] 宋振霞[1] 刘永红[1] 

机构地区：[1]青岛市妇女儿童医疗保健中心,山东青岛266011

出　　处：《齐鲁医学杂志》2011年第6期534-535,538,共3页Medical Journal of Qilu

摘　　要：目的探讨宫腔镜电切术治疗宫腔粘连的效果。方法回顾性分析44例行宫腔镜宫腔粘连电切术病人的临床资料。结果 44例病人手术过程顺利,无1例发生子宫穿孔、感染等并发症。术后3个月随访,8例月经过少病人7例月经恢复正常,月经量较术前无明显变化1例;2例闭经病人术后月经周期恢复正常但经量偏少。复查宫腔镜,宫腔形态完全正常9例,宫腔形态基本正常27例,再次宫腔粘连8例。33例有生育要求者12例妊娠,5例足月顺产。结论宫腔镜电切术是治疗宫腔粘连的有效方法。Objective To assess the efficacy of hysteroscopic electrocision for intrauterine adhesions.Methods A retrospective analysis was done for the data of 44 patients with intrauterine adhesions who underwent hysteroscopic electrocision.Results All the surgery was completed smoothly without perforation of uterus or infection.A follow-up three months after surgery indicated that seven in eight patients with hypomenorrhea returned to normal,no changes in one;two with amenorrhea recovered menstrual cycle,but menstrual volume decreased.Review hysteroscopy found nine cases with completely normal intrauterine appearance,basically normal in 27 cases;re-adhesions were seen in eight.In 33 patients who required fertility,12 got pregnancy.Five experienced full-term normal delivery.Conclusion Hysteroscopic electrocision of intrauterine adhesions is an effective method for the treatment of this condition.

关 键 词：宫腔镜检查 宫腔粘连 治疗结果 

分 类 号：R713.4[医药卫生—妇产科学]