宫腔镜手术治疗宫腔病变的研究进展  

Research Progress of Hysteroscopy in Treatment of Intrauterine Lesions

作　　者：覃睿[1] 甘精华[1] 陈晓[1] 农文政[1] QIN Rui;GAN Jinghua;CHEN Xiao;NONG Wenzheng(Department of Gynecology,Guangxi Zhuang Autonomous Region Ethnic Hospital/Guangxi Medical University Affiliated Ethnic Hospital,Nanning 530001,China)

机构地区：[1]广西壮族自治区民族医院广西医科大学附属民族医院妇科,南宁530001

出　　处：《医学综述》2020年第16期3282-3286,共5页Medical Recapitulate

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20180611)。

摘　　要：宫腔镜是目前诊断宫内病变的主要方法,具有简单、经济、有效、实用等特点,作为常用的现代妇科微创手术方式被用于宫腔粘连、子宫肌瘤、子宫畸形、子宫内膜良性病变、宫腔内异物等常见女性宫腔病变的检查与治疗。与传统检查及治疗方式相比,宫腔镜具有创伤小、可直接观察病灶情况、术中出血量较少、术后机体功能恢复快等优点,整体治疗效果更好,有望成为各类宫腔病变的首选诊治手段。对于不同宫腔病变的治疗,宫腔镜具有其优势与局限性,临床应用时应根据患者具体病情进行选择。Hysteroscopy is the main method to diagnose intrauterine diseases,which is simple,economic,effective and practical.As a common minimally invasive operation in modern gynecology,it is used to check and treat the common female intrauterine diseases such as intrauterine adhesions,hysteromyomas,uterine malformations,benign endometrial lesions,intrauterine foreign bodies and so on.Compared with the traditional methods of examination and treatment,hysteroscopy has the advantages of small trauma,direct observation of lesions,less intraoperative bleeding,and rapid recovery of body function after operation,showing a better therapeutic effect,and it is expected to become the first choice for diagnosis and treatment of various kinds of uterine lesions.Hysteroscopy has its advantages and limitations in the treatment of different uterine diseases,which should be selected according to the specific conditions of the patients in the clinical practice.

关 键 词：宫腔镜手术 子宫肌瘤 宫腔粘连 宫腔异物 子宫内膜良恶性病变 子宫畸形 

分 类 号：R713.4[医药卫生—妇产科学] R711.74[医药卫生—临床医学]