宫腔镜下MyoSure组织切除系统治疗宫内胚胎及胎盘组织残留的临床分析

目的 分析宫腔镜下MyoSure组织切除系统切除宫内残留妊娠组织的有效性、安全性和局限性.方法 回顾性分析82例MyoSure切除和78例宫腔镜下清除宫内残留的临床病例资料.结果 ①MyoSure组与清宫组手术时间[(21.77±19.84) min、(33.05±39.29) min]和出血量[(12.15±18.4...

Clinical study of hysteroscopic tissue excision system MyoSure to remove residual embryos in utero

Objective?To evaluate the efficacy and safety of hysteroscopic tissue resection system MyoSure removal of intrauterine residual embryos. Methods?Clinical data of 82 cases of MyoSure resection and 78 cases of hysteroscopic removal of intrauterine residues were retrospectively analyzed. Results?① There was significant difference in surgical time (21.77±19.84 min VS 33.05±39.29 min) and blood loss (12.15±18.41 ml VS 29.41±65.06 ml) between the MyoSure group and the curettage group (P<0.05). ② There was significant difference in the fluid flow between the MyoSure group and the curettage group （299.88±452.63 ml VS 113.65±281.05 ml, P=0.002 ). There were no complications such as water poisoning in both groups. ③ Compared with the curettage group, MyoSure group had lower embryo and placental tissue residual rate (2.44% VS 15.38%, P=0.004) and low incidence of newly-occurred intrauterine adhesions (2.44% VS 11.54%, P=0.023). Conclusion?Hysteroscopic tissue resection system MyoSure removes residual embryos in the uterus accurately, efficiently, quickly and safely, especially the removal of residual embryos in special area.