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目的:探讨B超引导下疑难宫腔手术操作中的应用。方法:139例疑难宫腔手术操作均在B超引导下进行,其中人流失败及困难人流术43例,疑难取环术19例,子宫畸形合并妊娠23例,胎盘残留36例,B超导视下羊膜腔穿刺术18例。结果:138例在B超的引导下均1次性取得成功;1例环嵌顿肌层较深,手术失败,最后改成宫腔镜完成手术。138例手术过程顺利,术中无大出血,无子宫穿孔等并发症发生。结论:B超引导下进行的疑难宫腔手术避免了常规手术操作的盲目性和危险性提高了手术准确性和安全性,具有临床应用价值。
Objective: To explore the application of B-guided ultrasonography in difficult uterine surgery. Methods: Thirty-nine cases of difficult uterine cavity surgery were under the guidance of B-mode ultrasonography. Forty-three cases of failed abortion and difficulty abortion, 19 cases of difficult circumcision, 23 cases of uterine malformation combined with pregnancy, 36 cases of residual placenta, Under amniocentesis in 18 cases. Results: One hundred and thirty-eight cases were successful under the guidance of B-mode ultrasound. One case had a deep incarcerated myometrium and the operation failed. Finally, the procedure was changed into hysteroscopy to complete the operation. 138 cases of successful surgical procedure, intraoperative bleeding, uterine perforation and other complications. Conclusion: The intrauterine operation guided by B-ultrasound avoids the blindness and danger of routine operation and improves the accuracy and safety of operation. It has clinical value.