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目的研究用宫腔镜诊断不全流产及在宫腔镜下行清宫术的优势及价值。方法2002年12月我院对368例不全流产病人进行宫腔镜下清宫术。先用宫腔镜检查宫腔形态,子宫内膜及确定胚物残留的部位,再行清宫术,然后,用宫腔镜检查确定是否清除干净。清除物均送病理检查进行确诊。结果368例不全流产在宫腔镜下均一次性完成清宫术,成功率为100%;手术时间短,平均为16分钟;术后病理检查符合率100%。结论宫腔镜检查不全流产优于B超检查;宫腔镜下清宫术准确、可靠,减少了子宫内膜损伤,成功率高。具有一定的实用价值,值得推广应用。
Objective To study the advantage and value of hysteroscopy in the diagnosis of incomplete abortion and hysteroscopy in hysteroscopy. Methods December 2002 in our hospital for 368 cases of incomplete abortion patients under hysteroscopic curettage. First use of hysteroscopy to check uterine morphology, endometrial and determine the remaining parts of the embryo, and then curettage, and then use hysteroscopy to determine whether the clean. Clear material were sent for pathological examination confirmed. Results 368 cases of incomplete abortion in hysteroscopy were completed a one-time curettage, the success rate was 100%; short operative time, with an average of 16 minutes; postoperative pathology consistent rate of 100%. Conclusion Hysteroscopy is superior to B-ultrasound in diagnosing incomplete abortion. Hysteroscopic surgery is accurate and reliable, reducing endometrial damage with high success rate. Has a certain practical value, it is worth promoting application.