宫腔镜对宫腔内妊娠物残留的诊治价值

目的 探讨官腔镜对宫腔内妊娠物残留的诊治价值。方法 对22例官腔内妊娠物残留经常规刮宫两次以上仍不能刮净的难治性患者，经宫腔镜诊断、定位后钳夹或镜下钳夹等治疗。结果 22例患者均为官腔内妊娠物残留，其中3例为宫角部妊娠物残留，1例宫角妊娠，2例患者为宫腔内胎骨残留。合并宫腔粘连的有3例。所有患者经宫腔镜定位后钳夹或镜下直接钳夹，均一次成功，无子宫穿孔、阴道大出血等并发症。结论 宫腔镜对官腔内妊娠物残留的诊治具有直接、准确的特点．应作为首选方法．

Value of hysteroscopy in diagnosis and treatment of residual pregnancy tissue in uterine cavity

[Objective] To study the value of hysteroscopy in diagnosis and treatment of residual pregnancy tissue intrauterine cavity. [Methods] 22 cases of residual pregnancy tissue intrauterine cavity who were failed to be taken out by routinal curettage for more than two times are included, they accepted hysteroscopy for location and cuttage. [Results] They are all residual pregnancy tissue intrauterine cavity (22 cases). Three cases were residual pregnancy tissue in cornua uteri, one was cornal pregnancy, two cases were residus of fetal bone. 3 cases were complicated with uterine cavity adhesion. Taking out the residual tissue by forceps under hysteroscopy in one time were successful, there was no complication of rupture of uterus and vaginal massive hemorrage. [Conclusion] The characteristic of the diagnosis and treatment of residual pregnancy tissue by hysteroscopy is direct and correct, it may be the preferred method.