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彩超指引宫腔镜下宫腔粘连合并宫内妊娠物清除术的临床价值分析 预览

Clinical Value Analysis of Color Doppler Ultrasound Guided Hysteroscopic Removal of Intrauterine Adhesion and Intrauterine Pregnancy
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摘要 目的探讨彩超指引宫腔镜下宫腔粘连合并宫内妊娠物清除术在临床中的应用价值。方法选取2017年3月—2018年3月我院收治20例宫腔粘连合并宫内妊娠患者作为研究对象,均在彩超指引宫腔镜下宫腔粘连分离后,再行宫内妊娠物清除术。结果手术前血HCG值与术后1天血HCG值比较,P<0.05,差异存在统计学意义。术中及术后未见明显并发症,均达到治愈标准,治愈率为100.00%。阴道流血平均3~7天干净,月经复潮平均24~37天,术中出血量(131.88±25.75)mL、术后出血量(15.50±2.60)mL、住院时间(4.05±1.45)天、出血时间(4.75±1.44)天。结论彩超指引宫腔镜下宫腔粘连合并宫内妊娠物清除术具有确切疗效。 Objective To investigate the clinical value of hysteroscopic adhesions combined with intrauterine pregnancy clearance guided by color Doppler ultrasound.Methods From March 2017 to March 2018,20 patients with intrauterine adhesions complicated with intrauterine pregnancy in our hospital were selected as the subjects.All of them underwent hysteroscopic adhesions separation guided by color Doppler ultrasound,and then performed intrauterine pregnancy removal.Results There was statistically significant difference between the HCG value before operation and the HCG value at 1 days after operation(P<0.05).No obvious complications were found during and after the operation,and the curative rate was 100.00%.Vaginal bleeding averaged 3~7 days clean,menstrual rehydration averaged 24~37 days,intraoperative bleeding volume(131.88±25.75)mL,postoperative bleeding volume(15.50±2.60)mL,hospital stay(4.05±1.45)days,bleeding time(4.75±1.44)days.Conclusion Color Doppler ultrasound guided hysteroscopy for intrauterine adhesion combined with intrauterine pregnancy clearance is effective.
作者 徐忠兰 包碧惠 张劲松 何廷德 曾凡勇 XU Zhonglan;BAO Bihui;ZHANG Jinsong;HE Tingde;ZENG Fanyong(Department of Obstetrics and Gynecology,Fuling District Maternal and Child Health Hospital,Chongqing 408000,China;Department of Obstetrics and Gynecology,Qingbaijiang District Maternal and Child Health Hospital,Chengdu Sichuan 610300,China)
出处 《中国继续医学教育》 2019年第16期108-110,共3页 China Continuing Medical Education
关键词 宫内妊娠 宫腔粘连 宫腔镜 宫腔粘连分离 彩超 宫内妊娠物清除术 intrauterine pregnancy intrauterine adhesions hysteroscopy separation of intrauterine adhesions color Doppler ultrasound intrauterine pregnancy clearance
作者简介 通信作者:包碧惠.
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