目的探讨超声引导下人工流产及清宫术的应用体会及推广价值。方法对380例常规人工流产不全、药物流产不全、妊娠合并子宫肌瘤或子宫畸形、疤痕子宫合并妊娠等的宫腔手术采用超声引导下全程监视宫腔内操作。结果全部一次性清除干净,宫腔内显示细条状无回声或细线状回声为标准,均取得满意效果,未发现子宫穿孔或其他并发症,术后即刻观察宫腔内有无残留物较几天后观察效果要好。结论超声引导下实施宫腔操作使原来复杂、盲目、困难的宫腔手术变得简单、安全、可靠,全部一次清除干净,不仅手术快、出血少,而且可以杜绝术中并发症,减少术后近期并发症及再次清宫术。 Objective To explore the application experience and popularization value of induced abortion and curettage guided by ultrasound. Methods 380 cases of conventional induced abortion, incomplete medical abortion, pregnancy complicated with uterine fibroids or uterine malformations, uterine scar pregnancy and other uterine cavity surgery under the guidance of ultrasound-guided monitoring of intrauterine operation. The results of all the one-time clean, uterine cavity showed no echo or thin linear echo as the standard, have achieved satisfactory results, no uterine perforation or other complications found, immediately after the observation intrauterine residue more than a few The day after the observation effect is better. Conclusion The implementation of uterine cavity operation under the guidance of ultrasound makes the original complex, blind and difficult intrauterine surgery become simple, safe and reliable, all at one time. It not only has the advantages of quick operation and less bleeding, but also can eliminate intraoperative complications and reduce postoperative Recent complications and curettage again.