超声_____超声；监护；宫腔镜手术(期刊论文)

超声监护在宫腔镜手术中的应用价值(附102例病例分析)

http://www.100md.com 《新疆医科大学学报》 2006年第5期

超声,,超声；监护；宫腔镜手术,摘要,关键词,1资料与方法,2结果,3讨论,参考文献

     摘要: 目的：探讨超声监护在宫腔镜电切术中的应用价值。方法：对102例患者施行超声监护下宫腔镜手术,其中经宫颈子宫内膜切除术(TCRE)56例，经宫颈子宫肌瘤切除术(TCRM)25例，经宫颈子宫腔内异物切除术(TCRF)8例，经宫颈子宫纵隔切除术(TCRS)8例，经宫颈子宫腔内粘连切开术(TCRA)5例。结果：术中检查宫腔深度6~12 cm,平均(7.8±1.6) cm，手术时间8~40 min,平均(18.96±1.60) min，出血量25~32 ml,平均(28.16±1.12)ml，住院时间2~ 6 d,平均(4.6±1.2)d。术中胎盘植入致子宫穿孔转开腹1例，其余均顺利完成手术。81例行TCRE、TCRM术式患者中随访77例，月经闭经11例，阴道点滴出血17例，月经量减少28例，月经无改变17例，月经改善达77.9%。结果：在宫腔镜手术中应用超声监护对提高手术成功率、减少术后并发症的发生具有重要的临床应用价值。

    关键词：超声；监护；宫腔镜手术

    hysteroscopic surgeries(Analysis of 102 cases)FU Xi, DING Yan, Gulnar A, et al

    (Department of Obstertrics and Gynecology, First Affliliated Hospital, Xinjiang Medical University,

    Urumqi 830054, China)Abstract: Objective: To evaluate application value of contrast urtrasonic study in hysteroscopic surgeries. Methods: Fiftysix patients with endometial polyps underwent transcervical resection of endometrium (TCRE), 25 patients with submous moyma or uterine leiomoyma underwent transcervical resection of moyma (TCRM), 8 patients with intrauterine foreign bodies underwent transcervical resection of intrauterine foreign bodies (TCRF), 8 patients with uterine spetum underwent transcervical resection of uterine spetum (TCRS), 5 patients with intrauterine adhesion underwent transcervical resection of intrauterine adhesion (TCRA). The whole procedure was monitored by transabodominal ultrasounography. Results: Uterus depth 6~12 cm average(7.80±1.60)cm,operating time 8 ~40 min, average (18.96±1.60) min ......

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