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目的探讨宫腔镜对宫腔内妊娠物残留的诊断价值。方法对62例流产后不规则阴道流血和(或)B超显示宫腔内有异常回声的患者行宫腔镜检查,观察宫腔内情况。对单纯妊娠物残留患者行B超监护下刮宫术;刮宫失败或合并其他异常者,B超监测下宫腔镜电切术。结果单纯宫腔内妊娠物残留39例;合并宫腔粘连9例,子宫内膜息肉7例,子宫中隔4例,子宫黏膜下肌瘤3例。宫腔镜检查同时B超监护手术35例,择期宫腔镜电切27例。62例患者均治愈。结论宫腔镜诊治流产后妊娠物残留具有直接,准确,有效,创伤小的优点,可作为诊治妊娠物残留的首选方法 。
Objective To investigate the diagnostic value of hysteroscopy in the intrauterine pregnancy. Methods Hysteroscopy was performed on 62 cases of irregular vaginal bleeding after abortion and / or B ultrasound showed abnormal echo in the uterine cavity to observe intrauterine conditions. For simple residual pregnancy patients underwent B-monitor curettage; curettage failure or other abnormalities, B-monitoring under hysteroscopic resection. Results There were 39 cases of uterine pregnancy, 9 cases of uterine adhesions, 7 cases of endometrial polyps, 4 cases of uterine septum and 3 cases of uterine submucosal fibroids. Hysteroscopy at the same time B-monitoring surgery in 35 cases, elective hysteroscopic resection in 27 cases. 62 patients were cured. Conclusion Hysteroscopic diagnosis and treatment of post-abortion pregnancy residue has the advantages of direct, accurate, effective and small trauma, which can be used as the preferred method of diagnosis and treatment of residual pregnancy.