Hysteroscopic treatment of intrauterine adhesions in the care of severe.docVIP

 PAGE \* MERGEFORMAT 8 Hysteroscopic treatment of intrauterine adhesions in the care of severe [Keywords:] intrauterine adhesions; Hysteroscopy; Care Intrauterine adhesions is due to repeated operation or curettage uterine endometrial excessive damage, resulting in basal layer of endometrium exposed or destroyed, so that adhesion between the myometrium, including the uterine cavity, uterine isthmus and cervix. Clinical manifestations of amenorrhea , menstrual scarce or infertility. our hospital in June 2006 ~ December 2008 for use of electronic hysteroscopic resection of intrauterine adhesions in severe achieve better results. now nursing summarized as follows: 1 Materials and Methods 1.1 General Information The group, 18 patients with moderate to severe cases of intrauterine adhesions, aged 25 to 36 years, mean 28.6 years; 25 to 28 years old in 11 cases, 5 cases of 29 to 31 years old, 32 to 36 years in 2 cases. Clinical manifestations of rare menstruation 6; secondary amenorrhea .18 cases of intrauterine adhesions in 12 cases before the patients were disease history of uterine surgery operation, no abnormal physical examination, sex hormones and thyroid function six three were normal. 1.2 How is the surgical instruments used in the U.S. Stryker uterine resectoscope, cutting the wave power is 60 ~ 70W, coagulation power of 50 ~ 60W. Patients were bladder lithotomy position, routine disinfection, shop towels, with cervical dilatation expansion of the cervix to control 12 to 16, with 5% mannitol as a continuous perfusion of uterine distention fluid. resectoscope into the first observation of uterine morphology, adhesion level, location and extent of adhesion, adhesion to determine the types and sub- degrees, and then used under direct vision in the electronic hysteroscopic resection of intrauterine adhesions separated. separation of the flag is completely back to normal size cavity shape, bilateral fallopian tubes mouth clearly visible. intrauterin