Hysteroscopic diagnosis and treatment of residues of old intrauterine embryo of 65 cases.docVIP

 PAGE \* MERGEFORMAT 7 Hysteroscopic diagnosis and treatment of residues of old intrauterine embryo of 65 cases [Keywords:] abortion Residues embryo is abortion, a common complication after induced abortion, some patients are still able to curettage after repeated removal of residua .2002 October ~ May 2007, we have 65 cases of old intrauterine embryo to the uterine cavity residues mirror treatment, satisfactory results. are as follows. 1 Materials and Methods 1.1 General Information October 2002 ~ May 2007 treatment of common uterine resectoscope Residues of 65 cases of patients with intrauterine embryo, aged 20 to 38 years of age, duration of 3 months to 5 years. Of which 2 cases after cesarean section at term , after scraping people and clamp 50 cases, 13 cases of second trimester abortion, preoperative diagnosis of placenta remaining 45 cases, 20 cases of residual Taigu. showed 42 cases of abnormal vaginal bleeding, secondary infertility in 20 cases, 3 cases of amenorrhea (embryonic left and intrauterine adhesions. All the patients were 3 to 5 times curettage had treatment failure, the B-49 cases confirmed or suspected, B ultrasonic examination was normal after 16 cases diagnosed by hysteroscopy. 40 cases of hospitalized , out-patient treatment of 25 cases. 1.2 Methods hysteroscopy in all patients would require in order to clear the nature of residues, size, location, check with the Japanese Olympus HY-1T fiber hysteroscopy, treatment with continuous passive Olympus Japan uterine perfusion 27Fr resectoscope. To 5 % of uterine distention fluid, oral administration of misoprostol 3 h before surgery 600 μg, epidural anesthesia or intravenous anesthesia. Patients were lithotomy position, bladder filling after abdominal B-monitoring, regular disinfection of the vulva and vagina, speculum home , cervical clamp cervical and vaginal disinfection again, followed by expansion of the sea’s stick to the cervical canal 12, the front-end into the uterine c