经阴道内镜手术在无性生活生育年龄女性子宫内病变的临床应用  

Clinical application of transvaginal endoscopic surgery in intrauterine lesions in women of childbearing age with asexual life

作　　者：李云飞[1] 黄晓武[1] 夏恩兰[1] Li Yunfei;Huang Xiaowu;Xia Enlan(Hysteroscopy Center, Fuxing Hospital, Capital Medical University, Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院宫腔镜中心,北京100038

出　　处：《首都医科大学学报》2022年第4期658-663,共6页Journal of Capital Medical University

摘　　要：目的探讨经阴道内镜手术对无性生活的生育年龄患者子宫内病变的临床诊治与手术技巧。方法回顾性分析2017年1月至2021年1月首都医科大学附属复兴医院收治的无性生活生育年龄患者152例,行宫腔镜检查和/或手术及病理组织学检查。结果152例患者均成功实施经阴道宫腔镜手术,顺利切除宫腔内或宫颈良性病变和镜下子宫内膜定位活检,无宫颈裂伤、子宫穿孔、经尿道前列腺电切术(transurethral resection of prostate,TURP)综合征等并发症,处女膜医源性擦伤或裂伤16例(10.5%)。结论经阴道内镜宫腔镜手术可以在有效保护处女膜的前提下,及时准确地早期诊治宫腔内病变,有效保护其生育潜力。Objective To explore the clinical diagnosis,treatment and surgical skills of transvaginal endoscopic surgery for intrauterine lesions in reproductive age patients with asexual life.Methods Totally 152 patients,who were under childbearing age with asexual life and treated in Fuxing Hospital Affiliated to Capital Medical University from January 2017 to January 2021,were analyzed retrospectively.They underwent hysteroscopy and/or surgery and histopathology.Results Transvaginal hysteroscopy was successfully performed in all 152 patients.Benign intrauterine or cervical lesions were successfully removed.Endoscopic endometrial biopsy was sufficiently performed.There were no complications such as cervical laceration,uterine perforation and transurethral resection of prostate(TURP).There were 16 cases(10.5%)of iatrogenic abrasion or laceration of hymen.Conclusion Transvaginal endoscopic hysteroscopy can be used to timely and accurately diagnose and treat intrauterine lesions and effectively protect their reproductive potential on the premise of effective protection of hymen.

关 键 词：经阴道内镜手术 宫腔镜检查 病理组织学检查 

分 类 号：R816.91[医药卫生—放射医学]