B超监护下宫腔镜手术的临床疗效和安全性观察  

Observation on clinical efficacy and safety of hysteroscopic survey under B-mode ultrasound monitoring

作　　者：陈丽娜 朱伍 袁丽萍[2] 王华[2] 杜娟[2] 翟家乐[2] 

机构地区：[1]珠海市金湾区妇幼保健院,广东珠海519000 [2]广东省中医院珠海医院,广东珠海519015

出　　处：《中国妇幼保健》2016年第2期421-423,共3页Maternal and Child Health Care of China

摘　　要：目的探讨B超在宫腔镜手术中的临床应用价值。方法选取该院及广东省中医院珠海医院2013年1月-2014年6月收治的因各种原因造成复杂性宫腔手术患者共98例,随机分为观察组50例,对照组48例,对照组采用常规的宫腔镜手术,观察组在B超监测下进行宫腔镜手术。结果观察组50例患者采用超声监测下行宫腔镜手术,均顺利完成,无1例穿孔,无术后感染,对照组48例患者手术时间平均(45.5±15.5)min。2例子宫穿孔,1例肺水肿。两组手术情况及术后疗效比较,观察组明显优于对照组,有统计学意义(P<0.05)。结论宫腔镜手术时应用B超进行全程监测可以提高手术成功率、减少术后并发症,具有重要的临床应用价值。Objective To explore the clinical application value of B- mode ultrasound in hysteroscopic survey. Methods Ninety-eight cases receiving complicated uterine cavity operation because of various reasons in the hospital from January 2013 to June 2014 were selected and randomly divided into observation group（ 50 cases） and control group（ 48 cases）. The cases in control group were treated by conventional hysteroscopic surgery,while the cases in observation group were treated by hysteroscopic survey under B-mode ultrasound monitoring. Results The operation in observation group was completed successfully,no uterine perforation and postoperative infection occurred;the average operation time in control group was（ 45. 5±15. 5） minutes,two cases with uterine perforation and one case with pulmonary edema were found. The operation situation and postoperative therapeutic effect in observation group were statistically significantly better than those in control group（ P〈0. 05）. Conclusion Hysteroscopic survey under B-mode ultrasound monitoring can improve the successful rate of operation and reduce postoperative complications,which has important clinical application value.

关 键 词：宫腔镜手术 B超 疗效 安全性 

分 类 号：R713[医药卫生—妇产科学]