摘要
目的探讨宫腔电切镜分离宫腔粘连的效果。方法2001年1月～2003年12月对32例宫腔粘连采用宫腔电切镜进行粘连分离治疗。结果14例Ⅰ、Ⅱ度宫腔粘连分离至宫腔完全恢复正常。9例Ⅲ度宫腔粘连中6例可暴露出患侧输卵管开口。9例Ⅳ、Ⅴ度宫腔粘连中5例宫腔形状分离至恢复正常,但无法暴露出输卵管开口,1例子宫穿孔,腹腔镜手术修补,术后恢复良好。无水中毒、术后感染等并发症。27例月经异常者25例(92.6%)术后月经正常,2例(7.4%)仍闭经。12例术前有不同程度周期性腹痛者术后得到缓解。术后妊娠率42.9%(6/14)。结论宫腔镜分离粘连是一种安全、有效的方法。
Objective To evaluate the efficacy of hysteroscopic adhesiolysis for intrauterine adhesion. Methods Thirty-two patients with intrauterine adhesions underwent hysteroscopic adhesiolysis between January 2001 and December 2003. Results In the 14 patients with stage Ⅰ or Ⅱ adhesions, the uterine cavity regained normal status after surgery. Among the 9 patients with stage Ⅲ adhesions, the oviductal orifice of the diseased side could be exposed in 6 patients. Of the 9 patients with stage Ⅳ or Ⅴ adhesions, the uterine cavity was dissected to normal configuration but the oviductal orifice was not exposed in 5 patients, and perforation of uterus occurred in 1 patient, who later received a laparoscopic repair and recovered uneventfully. No complications such as overhydration or postoperative infection took place. Out of 27 patients with abnormal menstruation, a regular menses was obtained in 25 patients (92.6%) postoperatively, and amenorrhea remained in 2 (7.4%). The periodic abdominal pain of 12 patients was relieved after operation. The postoperative pregnancy rate was 42.9% (6/14). Conclusions Hysteroscopic adhesiolysis is a safe and effective option for women with intrauterine adhesion.
出处
《中国微创外科杂志》
CSCD
2005年第6期481-482,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
宫腔粘连
宫腔电切镜
分离术
Intrauterine adhesion
Hysteroscopy
Adhesiolysis
