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目的探讨宫腔镜在诊治宫内胚物残留的临床价值。方法回顾性分析西山煤电集团有限公司职工总医院2006年9月至2013年5月经B超确诊有宫内残留的72例患者的临床资料。结果 72例患者在宫腔镜直视下取出或定位后清宫,或电切割取出,均一次完成,出血少,无一例发生手术并发症,术后30~40 d月经恢复,同时发现9例子宫形态异常,10例合并宫内疾患。结论宫腔镜用于诊治宫内胚物残留具有直观可视、定位准确、安全有效、微创等优点,同时可发现宫内病变及子宫畸形,并给予治疗,从而改善生殖预后,值得临床推广。
Objective To investigate the clinical value of hysteroscopy in the diagnosis and treatment of endometrial residue. Methods The clinical data of 72 patients with intrauterine cancer who had been diagnosed by B ultrasound from September 2006 to May 2013 in Xishan Coal and Electricity Group Co., Ltd. were retrospectively analyzed. Results 72 patients underwent hysteroscopy or after removal of the location of the Qing, or electrocutaneous removal, were completed in one time, less bleeding, no case of complications occurred 30 to 40 days after menstruation recovery, found 9 cases of uterus Abnormal morphology, 10 cases of intrauterine disorders. Conclusion Hysteroscopy can be used to diagnose and treat the residual of intrauterine cavity endometrium with the advantages of visualization, accurate positioning, safe and effective, minimally invasive and so on. At the same time, intrauterine lesions and uterine malformations can be found and treated to improve the reproductive prognosis, which is worthy of clinical promotion .