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目的探讨宫腔镜在宫腔粘连合并稽留流产或合并妊娠物残留清宫失败诊治中的应用价值。方法分析21例宫腔粘连合并稽留流产或合并妊娠物残留清宫失败患者经宫腔镜的诊治过程,临床随访术后宫腔粘连的治愈率。结果 21例宫腔粘连合并稽留流产或合并妊娠物残留清宫失败患者均经宫腔镜检查明确诊断并行宫腔镜下宫腔粘连切除术+清宫术,术后辅以人工周期治疗3个月,宫腔粘连治疗有效率71.4%,但术后子宫内膜厚度未能达到正常范围。结论宫腔镜检查能确诊宫腔粘连合并稽留流产或合并妊娠物残留,宫腔镜下宫腔粘连切除术+清宫术是宫腔粘连合并稽留流产或合并妊娠物残留有效、微创、安全的治疗方法。
Objective To investigate the value of hysteroscopy in the diagnosis and treatment of the failure of hysteroscopy combined with missed abortion or residual pregnancy with uterine adhesions. Methods The diagnosis and treatment of hysteroscopy in 21 patients with intrauterine adhesions complicated with missed abortion or residual pregnancy with failed pregnancy were analyzed. The cure rates of intrauterine adhesions after clinical follow-up were analyzed. Results 21 cases of intrauterine adhesions with missed abortion or pregnancy with residual residual failure of patients with hysteroscopy were confirmed by hysteroscopy and hysteroscopic hysteroscopic resection combined curettage surgery, postoperative artificial cycle of treatment for 3 months, Intrauterine adhesions treatment efficiency of 71.4%, but postoperative endometrial thickness failed to reach the normal range. Conclusion Hysteroscopy can diagnose intrauterine adhesions combined with missed abortion or residual pregnancy, hysteroscopic adhesions resection + curettage is intrauterine adhesions with missed abortion or pregnancy with residual effective, minimally invasive, safe treatment method.