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目的介绍宫腔镜在子宫纵隔中的应用及疗效。方法 B超监护下进行子宫纵隔切除术30例患者。超声监视手术过程可以准确测量纵隔长度及子宫壁厚度,引导切割部位及切割方向,有利于彻底地切除子宫纵隔,防止子宫穿孔。结果生育功能明显改善,自然流产率明显下降,分娩率明显上升。结论 B超监护下TCRS既避免了剖腹手术的并发症如盆腔粘连,又使子宫肌壁无瘢痕,减少了妊娠子宫破裂的危险,减少流产率,且术后恢复快,费用较低。
Objective To introduce the application and effect of hysteroscopy in mediastinum of the uterus. Thirty cases of uterine septum resection under Method B were supervised. Ultrasound Surgical procedures can accurately measure the length of the mediastinum and uterine wall thickness, guide the cutting site and the direction of the cut, is conducive to the complete removal of the uterine mediastinum to prevent uterine perforation. Results Fertility significantly improved spontaneous abortion rate decreased significantly, delivery rate increased significantly. Conclusion The B-ultrasound-assisted TCRS not only avoids the complications of laparotomy such as pelvic adhesions, but also makes the uterine muscle wall scarless, reduces the risk of uterine rupture and reduces abortion rate, and the recovery is quick and the cost is lower after operation.