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目的探讨超声在宫腔镜子宫内膜切除术中的临床价值。方法术中超声引导20例患者,于宫腔镜切割前、后分段测量肌层、内膜厚度,引导内膜浅肌层切割;与20例无超声引导患者情况进行对比。结果术后第3个月起随访,超声引导组月经情况明显改善,且全部手术无1例并发症发生。结论超声引导宫腔镜子宫内膜切除术使切割更精确,可缩短手术时间,提高疗效,减少并发症的发生。
Objective To investigate the clinical value of ultrasound in hysteroscopic endometrial ablation. Methods Twenty patients underwent intraoperative ultrasonography. The thickness of myometrium and tunica intima was measured before and after hysteroscopy. The incision was performed in the superficial muscular layer of the tunica intima. Twenty cases without ultrasound guidance were compared. Results The patients were followed up from the third month after operation. The menstrual conditions in the ultrasound guided group were significantly improved, and no complications were found in all the cases. Conclusion Ultrasound-guided hysteroscopic endometrial resection makes the cutting more accurate, which can shorten the operation time, improve the curative effect and reduce the incidence of complications.