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目的:评价宫腔镜对流产后宫内残留物诊治的临床意义。方法:回顾性分析流产后阴道流血、超声检查提示有宫腔异常回声行宫腔镜检查术的患者28例。结果:手术均一次完全去除残留物,无手术并发症,术后2周复查血-βhCG均正常,B超宫腔内无占位性病变;与病理结果比较,宫腔镜诊断蜕膜及绒毛残留的符合率为100%。结论:宫腔镜可诊断宫内是否有妊娠残留物及残留物的位置、形状、大小,并在直视下对宫内妊娠物残留的患者进行确切有效的治疗。
Objective: To evaluate the clinical significance of hysteroscopy in diagnosis and treatment of intrauterine residue after abortion. Methods: A retrospective analysis of vaginal bleeding after abortion, ultrasound showed hysteroscopic abnormalities of hysteroscopy in 28 cases. Results: All the operations were complete removal of residues, no surgical complications, 2 weeks after the review of blood-βhCG were normal, B-intrauterine lesions without space-occupying lesions; compared with the pathological findings, hysteroscopic diagnosis of decidua and villi Residue in line with the rate of 100%. Conclusion: Hysteroscopy can diagnose the location, shape and size of the pregnant women and the residuals in the uterus, and treat the pregnant women with intrauterine pregnancy exactly and effectively under the direct vision.