| 张丹,夏恩兰,孟焱,翟林.宫腔粘连的介入性超声诊断和治疗[J].中国医学影像技术,2002,18(4):376~377 |
| 宫腔粘连的介入性超声诊断和治疗 |
| Interventional Ultrasound Diagnosis and Treatment for Intrauterine Adhesion |
| 投稿时间：2001-11-24 |
| DOI： |
| 中文关键词: 宫腔粘连 介入性超声 宫腔镜手术 |
| 英文关键词:Intrauterine adhesion Interventional ultrasound Hysteroscopy |
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| 中文摘要: |
| 目的 探讨宫腔粘连的介入性超声诊断和治疗的方法。方法 64例不孕、闭经及周期性腹痛的患者,行介入性超声检查并在超声监导下行经宫颈宫腔粘连松解术。结果 经介入性超声诊断宫腔粘连63例(98.43%)。64例手术中,62例手术顺利,2例穿孔。随访42例,21例症状消失或减轻,其中4例妊娠,2例分娩;13例分解粘连组织后取出宫内避孕器、残留胎骨及妊娠囊;3例复发。结论 介入性超声是诊断和治疗宫腔粘连的有效方法。 |
| 英文摘要: |
| Objective To discuss the method of interventional ultrasound diagnosis and treatment for intrauterine adhesion. Methods Sixty-four patients evaluated for infertility, amenorrhea and periodic abdominal pain underwent interventional ultrasonographic examination and all patients were performed transcervical resection of adhesion (TCRA) under ultrasound guidance. Results Sixty-three patients (98.43%) were diagnosed interuterine adhesion by interventional ultrasound.Sixty-two out of the 64 patients were successfully performed operative hysteroscopy. In the remaining 2 patients, uteri were perforated. The study followed 42 women treated by TCRA. The symptoms were relieved or improved in 21 patients, 4 of them were later on pregnant and 2 women with normal delivery. The intrauterine device,residual fetal bone and gestational sac in 13 patients were removed after TCRA. The uterine cavity relapsed into adhesion in 3 patients. Conclusion Our study showed that interventional ultrasonography is effective method in diagnosing and treating the intrauterine adhesion. |
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