宫腔镜对宫腔内胚物残留的诊断和治疗作用

目的 探讨宫腔镜对宫腔内胚物残留的诊断和治疗作用。方法 对218例经常规清宫1次以上仍然有宫腔内胚物残留的患者，采用宫腔镜诊断、定住后清宫或直接镜下钳夹等治疗。结果 218例宫腔内胚物残留患者，其中不全流产106例，稽留流产58例，宫角妊娠36例，胎盘残留18例。所有患者经宫腔镜定位后钳夹或镜下直接钳夹，除3例残留胚物与宫壁粘连致密，子宫收缩不佳，出血较多，1周后再次行宫腔镜下清宫外，其余均一次成功。无子宫穿孔、阴道大出血等并发症发生。结论 宫腔镜在官腔内胚物残留的诊断和治疗中是一种安全、有效、微创的首选方法。

Diagnosis and Treatment for Residual Pregnancy Products in Uterine Cavity by Using Hysteroscopy

Objective To study the diagnosis and treatment of residual pregnancy products in intrauterine cavity by using hysteroscopy. Methods 218 eases with residual pregnancy products in intrauterine cavity, who were failed to be taken out by routine curettage for more than one time, were inehded, and they accepted hysterascopy for location and curettage. Results 218 eases were all residual pregnancy products in intrauterine cavity, of which 106 eases were incomplete abortion, 58 cases were missed abortion, 36 eases were comer pregnmacy, 18 eases were placenta residue. Taking out the residual products by forceps under hysterascopy in one time was successful except 3 eases for second time curettage after one week under hysteroscopy. There was no complication of uterus rapture and vaginal massive hemorrhage. Conclusion Diagnosis and treatment of residual pregnancy tissue by using hysteroscopy are safe, highly effective and little damage tissue. It may be the preferred method.