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时间:2020-03-04
《宫腔镜电切术后放置T型节育器预防粘连45例临床观察.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、宫腔镜电切术后放置T型节育器预防粘连45例临床观察作者:劳金美单位:广东省珠海市妇幼保健院,广东珠海519000【摘要】目的:宫腔镜电切术后放置T型节育器预防宫腔或宫颈管粘连。方法:行宫腔镜电切术45例,于电切手术结束应用催产素10〜20U静脉注射后观察无出血,探测宫腔深度后放置T型节育器。根据电切类型不同,于术后1〜3个月取出节育器,并行宫腔镜检查,判断是否存在宫腔或宫颈管粘连。结果:宫腔镜电切术45例。栃3个月随访并行宫腔镜检查,除宫腔粘连分离术4例中粘连1例(25.00%);其余均未发现宫腔粘连。结论:宫腔电切术放置T羽节育器对预防宫腔或宫颈管粘连有效,有效率达97
2、.78%o利用T型节育器的两侧横臂及带尾丝的纵杆将子宫颈管及宫腔前后壁分开,预防粘连,且収器容易、方便,值得推广。【关键词】宫腔镜检查宫内避孕器电外科手术粘连EffectofadhesionpreventionbyhysteroscopicelectroresectionforTtypeintrauterinedeviceinstallationin45casesLAOJinmei,WANGQingyi,KANGWen(TheMaternityandChildHealthcareHospitalofZhuhai,Zhuhai519000,China)[ABSTRACT]O
3、bjective:ToexplorethepreventionofadhesionofuterinecavityorendocervicalcanalbyinstallationofTtypeintrauterinedeviceafterhysteroscopicelectroresection.Methods:Fortypeopleintendingtoinstallintrauterinedeviceunderwenthysteroscopicelectroresection,theninfusedoxytocin10〜20Uintravenously,detecte
4、ddepthofuterinecavityafterbleedinghadceasedandinstalledTtypeintrauterinedevices.TheintrauterinedeviceswerewithdrawninI〜3monthsaccordingtodifferentelectroresection;thenunderwenthysteroscopytoinvestigatewhethertherewasadhesionofuterinecavityorendocervicalcanal.Results:Fortyfivecaseswerefoll
5、ow-upandunderwenthysteroscopyin3monthsafterelectroresection,oneofthe4caseswhohadundergoneseparationfortheadhesionofuterinecavitytookplaceadhesion(25.00%),theotherswithoutadhesion.Conclusion:Ttypeintrauterinedeviceinstallationafterhysteroscopicelectroresectioncanpreventadhesionofuterinecav
6、ityorendocervicalcanaleffectively,therateofefficiencywas97.78%.Withtransversebarsonbothsidesandlongitudinalrodwiththreadtail,theTtypeintrauterinedeviceisabletopreventadhesionbyseparatinganteriorwallandposteriorwalloftheuterinecavityaswellasendocervicalcanal,canbewithdrawneasily.I〔deserves
7、generalization.[KEYWORDS]Hysteroscopy;Intrauterinedevices;Electrosurgery;Adhesion宫腔镜电切术治疗宫腔内良性病变,己取得良好效果,如在宫腔镜下行子宫黏膜下肌瘤、子宫内膜息肉、子宫纵隔及宫腔粘连等病变切除[1],代替了子宫切除或开腹于-术,治愈了大部分宫内良性病变,极大地减少了受术者的创伤和痛苦。但宫腔镜电切虽是微创但述是有创伤的。如果术后不加预防也会造成宫腔或宫颈管粘连。我们在宫腔镜电切术后放置T型节育器45例进行临床观察,现报道如下。1资料与方法
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