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目的探讨宫腔镜对常规清宫术后宫腔内妊娠物残留的诊治价值。方法对资料完整的46例常规清宫术后阴道异常流血或B超提示宫内异常回声的患者,进行宫腔镜诊断和治疗,治疗时根据检查情况决定是否术中应用B超监护下手术治疗。结果单纯宫腔内妊娠物残留29例,合并宫腔粘连11例,纵隔子宫4例,双角子宫1例,双子宫1例,B超监护下手术29例。46例患者均治愈。结论宫腔镜对常规清宫术后妊娠物残留的诊治具有直接、准确、有效、微创的优点,可作为诊治妊娠物残留的首选方法。
Objective To investigate the value of hysteroscopy in the diagnosis and treatment of uterine endometrial lesions after conventional curettage. Methods Forty-six patients with routine postoperative vaginal bleeding or B-mode abnormal intrauterine echo were diagnosed and treated by hysteroscopy. According to the examination, the patients underwent surgery under B-ultrasound. Results There were 29 cases of residual uterine pregnancy, 11 cases of intrauterine adhesions, 4 cases of mediastinal uterus, 1 case of double angle uterus, 1 case of double uterus and 29 cases under B ultrasound. 46 patients were cured. Conclusion Hysteroscopy has the advantages of direct, accurate, effective and minimally invasive diagnosis and treatment of postoperative residual pregnancy after curettage, which can be used as the first choice for the diagnosis and treatment of pregnancy.