宫内胎骨残留致继发性不孕临床分析

来源 :中国实用医药 | 被引量 : 0次 | 上传用户:wlj190151
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目的探讨宫内胎骨残留所致继发性不孕的临床特征及诊断要点。方法回顾性分析应城市康复医院1995年1月至2005年1月间收治的8例宫内胎骨残留所致继发性不孕患者的临床资料。结果8例患者均有1~3次人工中止妊娠手术史,且最后1次手术时孕龄12~16周间,B超检查显示子宫内长条状和/或片状、沙粒状强回声团。通过电视宫腔镜用异物钳取出残留胎骨4~12块。随访中7例在术后6~13个月妊娠且足月分娩,1例术后一直避孕未孕。结论B超联合宫腔镜是诊断、治疗宫内胎骨残留的最有效方法。 Objective To investigate the clinical features and diagnosis points of secondary infertility caused by intrauterine fetal tire. Methods Retrospective analysis of clinical data of 8 cases of secondary infertility caused by residual fetal uterus in Yicheng Rehabilitation Hospital from January 1995 to January 2005 were retrospectively analyzed. Results All the 8 patients had a history of artificial abortion one to three times during pregnancy, and the gestational age at the last operation was between 12 and 16 weeks. Ultrasonography showed long and / or lamellar umbilical glandular echogenic mass . Tumor hysteroscopy with foreign body forceps remove the remaining 4 to 12 pieces of fetal bone. During the follow-up, 7 cases were delivered with full-term pregnancy after 6 ~ 13 months and 1 case had contraception after pregnancy. Conclusion B-hysteroscopy combined with hysteroscopy is the most effective method for the diagnosis and treatment of intrauterine fetal bone remnant.
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