| 摘要: |
| 目的：探讨B超监测在畸形子宫宫腔手术中的临床应用价值。方法：选择川北医学院附属医院2006年1月至2015年12月经阴道三维B超诊断畸形子宫在B超监测下施行宫腔手术的196例病例进行回顾性分析,数据资料运用Excel表格统计。结果：(1)全部病例术前经阴道三维B超诊断,经术中证实195例,误诊1例,准确率99.5%(195/196)。(2)B超监测引导下施行早孕人工流产或清宫术162例,引产或产后胎盘残留清宫术9例,诊断性刮宫及取环术24例；人工流产或清宫术1次成功160例,占93.6%(160/171),术后复诊行2次清宫术10例,占5.8%(10/171),术后共10例辅以人工周期治疗,占5.8%(10/171),1例双子宫患侧宫腔探查失败改经腹手术,诊断性刮宫及取环术均1次成功。结论：(1)阴道三维B超诊断畸形子宫准确率高,可作为首选；(2)B超监测引导下对畸形子宫施行宫腔手术是一种使操作准确可靠且简便经济的方法,是手术安全和成功的保障,值得临床推广应用。 |
| 关键词: B超监测 畸形子宫 宫腔手术 |
| DOI： |
| 投稿时间：2016-07-18修订日期：2016-09-22 |
| 基金项目: |
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| Clinical Value of B-scan Ultrasonography in Monitoring Intrauterine Operations on Malformed Uteruses |
| Jianlan SHAO,fanbo |
| (Obstetrical Department,Affiliated Hospital of North Sichuan Medical College) |
| Abstract: |
| Objective: To investigate the clinical value of B-scan ultrasonography in monitoring intrauterine operations on malformed uteruses. Methods: 196 cases that were diagnosed with malformed uteruses by 3-D transvaginal ultrasonography and underwent intrauterine operations under the monitoring of B-scan ultrasonography from January 2006 to December 2015 in Affiliated Hospital of North Sichuan Medical College were analyzed retrospectively and the clinical data were input into an Excel spreadsheet for statistics. Results: (1) All the 196 cases were preoperatively diagnosed by 3-D transvaginal ultrasonography, 195 of whom were confirmed with malformed uteruses during the operation while one was found to be misdiagnosed, with the accuracy of 99.5% (195/196); (2) 162 underwent suction curettage for early pregnancy, 9 had induced labor or |
| Key words: B-scan ultrasonography monitoring, malformed uteruses, intrauterine operations |
