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目的探讨超声监视下宫腔镜双极汽化电切术治疗纵隔子宫的临床价值和安全性。方法回顾分析采用超声监视下宫腔镜双极汽化电切术治疗的纵隔子宫36例,评价其疗效和安全性。结果 36例患者均一次性完成手术,手术时间为(20.25±3.45)min,术中出血量为(18.32±5.20)ml,手术无并发症的发生。36例患者术后1~3个月行宫腔镜复查宫腔形态恢复正常。术后随访33例,随访时间4~30个月,有26例妊娠。结论超声监视下宫腔镜双极汽化电切术治疗纵隔子宫是安全有效的。
Objective To investigate the clinical value and safety of hysteroscopic bipolar vaporization in the treatment of mediastinal uterus under ultrasound surveillance. Methods The retrospective analysis of 36 cases of mediastinum uterus treated by hysteroscopic bipolar vaporization under ultrasound surveillance was performed to evaluate the efficacy and safety. Results All the 36 patients completed the operation in one time. The operation time was (20.25 ± 3.45) min and the amount of bleeding during the operation was (18.32 ± 5.20) ml. There was no complication in the operation. 36 cases of patients 1 to 3 months after hysteroscopy hysteroscopy returned to normal shape. Thirty-three cases were followed up for 4 to 30 months, with 26 cases of pregnancy. Conclusion Ultrasound monitoring of hysteroscopic bipolar vaporization in the treatment of mediastinal uterus is safe and effective.