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宫腔镜剪刀在宫腔粘连分离中的应用
引用本文:植枝福,蒋晓莉,覃桂荣,周卓琳.宫腔镜剪刀在宫腔粘连分离中的应用[J].微创医学,2014(5):573-575.
作者姓名:植枝福  蒋晓莉  覃桂荣  周卓琳
作者单位:广西医科大学第一附属医院计划生育科,南宁市530021
摘    要:目的探讨利用宫腔镜剪刀分离宫腔粘连手术的疗效与安全性。方法利用宫腔镜剪刀分离宫腔粘连手术42例,分析术中效果,观察术后宫腔粘连恢复情况及术后月经恢复情况及术后妊娠情况。结果 42例宫腔粘连患者手术均在宫腔镜下完成粘连分离术,无手术并发症。手术成功率88.1%,术后复查宫腔恢复满意率73.8%,再次手术率26.2%,术后月经改善率为77.4%,术后妊娠率45.2%,活产率57.9%。结论利用宫腔镜剪刀分离宫腔粘连手术安全有效。

关 键 词:宫腔镜  宫腔粘连  粘连分离术

The application of hysteroscopic scissors in adhesiolysis of intrauterine adhesion
ZHI Zhifu,JIANG Xiaoli,QIN Guirong,ZHOU Zhuolin.The application of hysteroscopic scissors in adhesiolysis of intrauterine adhesion[J].Minimally Invasive Medicine Journal,2014(5):573-575.
Authors:ZHI Zhifu  JIANG Xiaoli  QIN Guirong  ZHOU Zhuolin
Institution:(Department of Family Planning, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, P. R. China)
Abstract:Objective To explore the effect and safety of hysteroscopic scissors in adhesiolysis of intrauterine adhesion. Methods Hysteroscopic scissors were used in forty-two patients of intrauterine adhesion for adhesiolysis. Intraoperative effects were analyzed,and postoperative intrauterine adhesions,menstruation recovery,and pregnancies were observed. Results All 42 patients underwent hysteroscopic adhesiolysis smoothly,and no operative complication was recorded. Operation success rate was 88. 1%,with postoperative intrauterine recovery rate as 73. 8%,second surgery rate as 26. 2%,menstruation recovery rate as 77. 4%,pregnancy rate as 45. 2%,and live birth rate as 57. 8%. Conclusion The application of hysteroscopic scissors in adhesiolysis of intrauterine adhesion is safe and effective.
Keywords:Hysteroscope  Intrauterine adhesion  Adhesiolysis
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