超声监护在完全子宫纵隔伴有双宫颈双阴道畸形宫腔镜电切术的临床应用.pdfVIP

中国介入影像与治疗学2008年镀5卷蔓旦湖 !!! 竺 !g．!!： ：!!：!! · 449 - Clinicalapplicationofultrasoundguidanceforhysteroscopic surgeriesincompleteseptateuteruswithdoublecervix and longitudinalvaginalseptum ZHOUPeng ．ZHOUPing ．L，Xing—hua ．W N Ya—j．n。 (1．Departmentofultrasound，2．DepartmentofObstetricsandGynecology，theThirdXiangyaHospital， CentrafSouthUniversity，Chansha410013，China) ABSTRACT Objective Toassessthevalueofultrasoundguidedhysteroscopicsurgeriesforcompleteseptateuteruswith doublecervixandlongitudinalvaginalseptum．M ethods Seventeenpatientswhohadacompleteseptateuteruswithdouble cervixandlongitudinalvaginalseptum underwenttheresectionofuterineseptum byultrasound——guidedhysteroscopicsur—— geries．Results Seventeenpatientswereallsuccessfullytreatedwithoutcomplicationsofperforationoftheuterus，injury ofthebladder，bowelandwaterintoxication．etc．Tilepatientswerefollowed—upfor1year，andtheshapeofuterinecavity wasnormalwithoutadhesion and storingblood．Compared tothereproductiveoutcomebeforeoperation，full—term live birthrateimprovedgreatly，abortionrateandpreterm deliveryratedecreasedsignificantly (P O．001)，andthosepatients whodeliveriedfull—termlydidn’tencounterthedeliverycomplicationssuchasuterinerupture．placenta implantationand postpartum hemorrhage．Conclusion Ultrasoundguidancecanassisthysteroscopicsurgeriestotreatcompleteseptateute ruswithdoublecervixandlongitudinalvaginalseptum effectively． KEY WORDS UItrason0graphy，interventional；Hysteroscopy；Completeseptateuterus 超声监护在完全子宫纵隔伴有双宫颈双阴道畸形 宫腔镜电切术的临床应用 周 鹏 ，周 平 ，李兴华 ，万亚军。 (1．中南大学湘雅三 医院超声科 ，2．妇产科 。湖南 长沙 410013) [摘 要] 目的 探讨超声监视下宫腔镜电切术治疗完全子宫纵隔伴有双宫颈双阴道畸形的临床价值。方法 在超声 监视下，对 17例完全子宫纵隔伴有双宫颈双阴道患者行宫腔镜子宫纵隔切开术 。结果