[1]成九梅,靳琳①,夏恩兰,等.B超和(或)腹腔镜监护下宫腔镜诊治宫腔粘连108例分析[J].中国微创外科杂志,2004,04(1):55-58.
　Cheng Jiumei*,Jin Lin,Xia Enlan,et al.Hysteroscopy under B-ultrasound and(or) laparoscopic monitoring in the treatment of intrauterine adhesions: Analysis of 108 cases[J].Chinese Journal of Minimally Invasive Surgery,2004,04(1):55-58.
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B超和(或)腹腔镜监护下宫腔镜诊治宫腔粘连108例分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年1期
页码:
55-58
栏目:
出版日期:
2004-01-20

文章信息/Info

Title:
Hysteroscopy under B-ultrasound and(or) laparoscopic monitoring in the treatment of intrauterine adhesions: Analysis of 108 cases
作者:
成九梅; 靳琳①; 夏恩兰; 段华　
目的探讨宫腔镜诊断和治疗宫腔粘连的安全性和有效性. 方法回顾分析1998年1月～2002年8月在我中心B超和(或)腹腔镜监护下行宫腔镜子宫粘连切除术(transcervical resection of adhesions,TCRA)108例的临床资料. 结果术中B超监护59例,B超和腹腔镜联合监护49例,并发症7例(3例出血,4例子宫穿孔),经适当处理后全部治愈.随访84例总有效率82.1%(69/84),以闭经、月经减少及月经紊乱就诊者有效率87.0%(40/46),以不孕及习惯性流产就诊者有效率42
Author(s):
Cheng Jiumei*;  Jin Lin;  Xia Enlan;  et al.
Hysteroscopic Center, Affiliated Fuxing Hospital of Capital University of Medical Sciences, Beijing100038, China
关键词:
目的探讨宫腔镜诊断和治疗宫腔粘连的安全性和有效性. 方法回顾分析1998年1月～2002年8月在我中心B超和(或)腹腔镜监护下行宫腔镜子宫粘连切除术(transcervical resection of adhesions; TCRA)108例的临床资料. 结果术中B超监护59例; B超和腹腔镜联合监护49例; 并发症7例(3例出血; 4例子宫穿孔); 经适当处理后全部治愈.随访84例总有效率82.1%(69/84); 以闭经、月经减少及月经紊乱就诊者有效率87.0%(40/46); 以不孕及习惯性流产就诊者有效率42
Keywords:
　Hysteroscopy; 　Intrauterine adhesions; 　B-ultrasound; 　Laparoscopy
分类号:
R713.4
文献标志码:
A
摘要:
宫腔镜; 宫腔粘连; B超; 腹腔镜
Abstract:
Objective　To discuss the safety and efficacy of hysteroscopy in the diagnosis and treatment of intrauterine adhesions (IUA).　Methods　Clinical data of 108 patients who had been treated by transcervical resection of adhesions (TCRA) under B-ultrasound and/or laparoscopic monitoring from January 1998 to August 2002 in this center were reviewed.　Results　 Intraoperative B-ultrasound monitoring was used in 59 cases and B-ultrasound combined with laparoscopic monitoring was used in 49 cases. Complications occurred in 7 cases (3 cases of hemorrhage and 4 cases of uterine perforation) and were cured after proper treatment. Follow-up checkups in 84 cases showed a total effective rate of 82·1% (69/84). The effective rate in patients with a menorrhea, hypomenorrhea and irregular menstruation was 87·0% (40/46), in patients with infertility and habitual abortion was 42·9% (6/14), and in patients with abdominal pain and failing to remove IUD was 95·8% (23/24).　Conclusions　Diagnosis and treatment of IUA by hysteroscopy is microtraumatic and effective. B-ultrasound and/or laparoscopic monitoring is the key to the operation safety and success.

参考文献/References:

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备注/Memo

备注/Memo:
①（山西省人民医院妇产科 太原,030012）
更新日期/Last Update: 2014-05-14