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宫腔镜宫腔粘连分离术60例临床分析 被引量:10

Clinical Analysis on 60 Cases of Transcervical Resection of Adhesions
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摘要 目的探讨宫腔镜手术治疗宫腔粘连的临床疗效。方法回顾性分析宫腔镜宫腔粘连分离术治疗宫腔粘连60例的情况。结果 53例宫腔粘连均在宫腔镜下顺利完成手术,7例发生并发症。术后3-6个月宫腔镜下随访发现:宫腔形成完好29例,治愈率48.33%,宫腔形成基本满意20例(33.33%),总有效率81.66%。术后月经恢复情况:恢复正常月经27例,治愈率45%;较术前明显增多,但未恢复正常月经20例(33.33%),总有效率78.33%。术后妊娠29例,妊娠率48.33%。结论宫腔镜是诊疗宫腔粘连的一种最有效的方法。 Objective To explore the clinical efficacy of intrauterine adhesion with hysteroscopy. Methods Sixty cases of intrauterine adhesion treated by transcervical resection of adhesions were retrospectively reviewed. Results Fifty-three cases were successfully completed.Postoperative complications occurred in 7 cases.After 3~6 months follow-up,uterine cavity formed well in 29 cases,with the curative rate of 48.33%.Uterine cavity formed basic-satisfactorily in 20 cases,with the curative rate of 33.33%.The total effective rate was 81.66%.The status of postoperative menstruation recovery showed that menstruation resumed normal in 27 cases,with the curative rate of 45%.The amount of menstrual blood loss was significantly more than that before the treatment but did not resume normal in 20 cases,with the total effective rate of 78.33%.The postoperative pregnancies occurred in 29 cases,with the pregnancy rate of 48.33%. Conclusion Hysteroscopy is the most effective method for intrauterine adhesion.
出处 《实用预防医学》 CAS 2010年第12期2449-2451,共3页 Practical Preventive Medicine
关键词 宫腔镜 宫腔粘连 宫腔粘连分离术 Hysteroscopy Intrauterine adhesion Transcervical resection of adhesions
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参考文献7

  • 1Nutan Jain. State of the art Atlas of Endoscopic Surgery in Infertility and Gynecology [ M], 2006.46 : 385 - 389.
  • 2Roge P. Intrauterine adhensions and infertilityz result of hysteroscopic treatment [ J ]. Gynecol Endoscopy, 1997,6 : 225.
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  • 5葛春晓.宫腔镜诊治宫腔粘连的评价[J].实用妇产科杂志,2005,21(7):394-397. 被引量:36
  • 6谢晖亮.宫腔镜宫腔粘连分离术45例分析[J].实用妇产科杂志,2006,22(6):353-354. 被引量:21
  • 7Yu D, Li Tc, Xia E, et al. Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman, 's syndrome[ J ]. Fertil Steril. 2008, (89) : 715 - 722.

二级参考文献3

  • 1Zuan-chong feng. Diagnostic and therapeutic hysteroscopy for traumatic intrauterine adhensions after induced abortions: clincal analysis of 365 cases.Gynaecological Endoscopy, 1999,8:95.
  • 2Roge P. Intrauterine adhensions and infertility: results of hysteroscopic turatment. Gynecol Endoscopy, 1997,6:225.
  • 3Magos A. Hysteroscopic treatment of Asherman's syndrome. Reprod Biomed Online,2002,4(3):46-51.

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