不全流产在宫腔镜下行清宫术的研究

目的 研究用宫腔镜诊断不全流产及在宫腔镜下行清宫术的优势及价值.方法 2002年12月我院对368例不全流产病人进行宫腔镜下清宫术.先用宫腔镜检查宫腔形态,子宫内膜及确定胚物残留的部位,再行清宫术,然后,用宫腔镜检查确定是否清除干净.清除物均送病理检查进行确诊.结果 368例不全流产在宫腔镜下均一次性完成清宫术,成功率为100%;手术时间短,平均为16分钟;术后病理检查符合率100%.结论 宫腔镜检查不全流产优于B超检查;宫腔镜下清宫术准确、可靠,减少了子宫内膜损伤,成功率高.具有一定的实用价值,值得推广应用.

Research On Operating Dilatation and Curettage On Incomplete Abortion Under Hysteroscope

Objective To research diagnosis of incomplete abortion, advantages and values of dilatation and curettage with the help of hysteroscopy.Methods In December 2002, Our hospital operated dilatation and curettage under hysteroscope on 368 cases of patients who suffered from incomplete abortion. Through hysteroscopy, we examined the shape of uterus cavity, endometrium and made sure where the embryo was, and then carried out dilatation and curettage, after that, we checked whether all the remains had been cleaned up through hysteroscopy.Results 368 patients completely succeeded in receiving operation. Conclusion Hysteroscopy of incomplete abortion is superior to B ultrasonic; Dilatation and curettage under hysteroscopy is more accurate, more reliable than B ultrasonic, it can reduce the damage to endometrium. So, Dilatation and curettage through hysteroscopy is well worth of being applied widely.