论文部分内容阅读
目的探讨术中超声在宫腔镜子宫中隔剪切术中的应用价值。方法经腹术中B超监测27例宫腔镜子宫中隔剪切术,术中实时观察微型手术剪的位置和操作过程,监测剪切深度及方向,测量术后宫底肌层厚度。结果 27例剪切至距宫底浆膜面的厚度在正常范围(0.8～1.5 cm)。术后3个月宫腔镜复查,宫腔形态基本正常,4例可见中隔残留,B超测量为0.4～0.7 cm。结论术中B超具有快速、安全、准确的特点,可以对宫腔镜子宫中隔剪切术予以实时指导,对术中决策有很大的应用价值。
Objective To investigate the value of intraoperative ultrasound in hysteroscopic resection of uterine septum. Methods Twenty-seven cases of hysteroscopic uterine septum were transected by abdominal ultrasonography. The position and operation of mini-surgical scissors were observed in real time. The depth and direction of shear were monitored. The thickness of posterior uterine muscle was measured. Results The thickness of 27 cases which was cut to the distance from the endometrial serous surface was in the normal range (0.8 ~ 1.5 cm). Hysteroscopy 3 months after surgery, uterine cavity morphology was normal, 4 cases showed residual septum, B-measurement was 0.4 ~ 0.7 cm. Conclusion Intraoperative B-with fast, safe and accurate features, hysteroscopic uterine septum shearing can give real-time guidance, the decision-making has great application value.