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宫腔镜电切术对持续宫内妊娠物残留患者并发症的影响

黎普茜

中国医药科学2016,Vol.6Issue(20):83-86,4.
中国医药科学2016,Vol.6Issue(20):83-86,4.

宫腔镜电切术对持续宫内妊娠物残留患者并发症的影响

Influence of hysteroscopy in the treatment of residual intrauterine tissue residual

黎普茜1

作者信息

  • 1. 广东省东莞市人民医院,广东东莞 523000
  • 折叠

摘要

Abstract

ObjectiveTo investigate the effect of hysteroscopy on the complications of continuous intrauterine pregnancy.Methods 32 cases of continuous intrauterine pregnancy patients treated with hysteroscopy surgery in pregnancy in our hospital from January 2013 to December 2015 were selected as treatement group, and cases of continuous intrauterine pregnancy patients treated with routine curettage were selected as control group. The operation time, blood loss and menstruation recovery time of the two groups were compared. In the organization of the two groups were observed and compared at first and 2 weeks after operation by B-ultrasound residue. The incidence of intrauterine adhesion was compared between the two groups after 1 months and 3 months after operation. The incidence of complications in the two groups were observed.ResultsThe operation time, blood loss and menstruation recovery time in the treatment group were better than those in the control group(P<0.05). In the treatment group, the first and second weeks after operation, the B ultrasound examination showed no residual.The control group after first week ultrasound examination showed 6.25%(2/32) intrauterine residue, second weeks showed that 18.75% (6/32) with fetal tissue residues(P>0.05). In the treatment group, there were 1 cases of uterine perforation, 1 cases of hyponatremia. 3 cases of uterine perforation in the control group, no incidence of hyponatremia.There was no significant difference between the two groups(P>0.05). There was no significant difference(P>0.05) between the treatment group and the control group after 1 months of the treatment group. After 3 months of treatment group was 6.25%(2/32) and intrauterine adhesions, 25%(8/32) in the control group and intrauterine adhesions(P<0.05). Conclusion Hysteroscopic resection in the treatment of patients with sustained intrauterine tissue residue has the advantages of thorough treatment, less trauma and faster recovery, and fewer complications, but it needs to be prepared to take preventive measures, early detection and timely treatment of complications of the right, the prognosis is good.

关键词

宫腔镜电切术/宫内组织残留/并发症/宫腔粘连

Key words

Hysteroscopy/Intrauterine residue/Complication/Intrauterine adhesion

分类

医药卫生

引用本文复制引用

黎普茜..宫腔镜电切术对持续宫内妊娠物残留患者并发症的影响[J].中国医药科学,2016,6(20):83-86,4.

中国医药科学

2095-0616

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