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目的探讨应用宫腔镜检查子宫内妊娠胎物残留的处理方法及效果。方法回顾分析我院应用宫腔镜处理子宫内残留的妊娠胎物共96例,术前准备及术中、术后情况。结果93例经宫腔镜检查后一次将残留物完全清除,有3例清宫时出血多,需宫腔塞纱止血,其中1例行全宫切除证实胎盘植入。另外,发现子宫畸形23例,宫腔粘连8例。结论宫腔镜检查不仅能明确残留物部位以及清宫后是否己彻底清除干净,还能发现子宫畸形等异常情况,是处理子宫内胎物残留的有效方法。
Objective To investigate the method and effect of hysteroscopy in detecting intrauterine fetal residuals. Methods A retrospective analysis of our hospital hysteroscopic treatment of uterine residual fetal pregnancy in a total of 96 cases, preoperative preparation and intraoperative and postoperative conditions. Results 93 cases of hysteroscopy after the residue was completely removed, there are 3 cases of bleeding when the palace, the need for uterine plug gauze hemostasis, including 1 case of placenta accreta excision confirmed. In addition, 23 cases of uterine malformations were found and 8 cases of intrauterine adhesions. Conclusion Hysteroscopy can not only clarify the site of the residue and whether it has been thoroughly cleaned up after the curettage, but also find abnormalities such as uterine malformations. It is an effective method to deal with the residual of the fetus in the womb.