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目的评价超声诊断在妇产科宫腔内手术中的应用价值。方法应用超声诊断仪,对妇产科宫腔内手术困难的病例,用床边超声直视引导,跟踪手术走向,指导临床医生准确操作。结果2012—2014年妇产科门诊对宫腔内手术失败或遇到困难的病例开展超声引导下宫腔内手术,75例中早孕人工终止妊娠手术60例(合并子宫肌瘤、子宫发育异常、疤痕子宫等,均为1次以上漏吸或吸宫不全),取环手术10例(术中出现无法探及节育环或节育环嵌顿无法取出及断裂或取环失败),羊膜腔穿刺引产术5例(均为1次以上常规穿刺失败),在超声直视引导下宫腔内手术均顺利完成。结论超声引导配合高危宫内手术,可提高手术的成功率以及安全性,值得基层医院推广。
Objective To evaluate the value of ultrasonic diagnosis in the intrauterine surgery of obstetrics and gynecology. Methods The ultrasonic diagnostic apparatus was applied to the cases of intrauterine surgery in obstetrics and gynecology department under direct vision guided by bedside ultrasound to follow the operation trend and guide the clinician to operate accurately. Results Obstetrics and Gynecology Clinics conducted intrauterine surgery under the guidance of ultrasound in 2012-2014 obstetrics and gynecology clinic, and 75 cases of pregnancy termination of pregnancy in the first and second trimester (combined with uterine fibroids, uterine dysplasia, Scars and other uterus, are more than 1 or leakage of suction or incomplete suction), take ring surgery in 10 cases (intraoperative can not explore and birth control ring or incarcerated incarcerated unable to remove and fracture or ring failure), amniocentesis Surgery in 5 cases (all more than 1 times the conventional puncture failure), intrauterine surgery under the guidance of ultrasound direct vision were successfully completed. Conclusion Ultrasound-guided intrauterine operation with high-risk, can improve the success rate of surgery and safety, it is worth promoting the primary hospital.