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1990年10月~1992年9月,145例月经过多及月经紊乱的患者在超声双项对比法监视下,用泌尿外科的内窥镜切割器行经宫颈子宫内膜切除术(TCRE)。术中监视证实:子宫内壁在高频电热作用下形成的强回声光带是监视TCRE术的超声指征。超声监视下同时切除子宫粘膜下肌瘤30例,部分切除子宫肌壁间肌瘤15例,术中诊断子宫不全纵隔畸形2例,穿孔2例。本文认为:超声双项对比法监视TCRE术较腹腔镜法更为安全、可靠。
From October 1990 to September 1992, 145 patients with menorrhagia and menorrhagia underwent endoscopic cervical endometriosis (TCRE) under the surveillance of ultrasound binocular. Surgical monitoring confirmed that: the uterine wall in the high-frequency electrothermal effect of the formation of strong echo band is to monitor the ultrasound indication of TCRE surgery. Under ultrasound monitoring, 30 cases of uterine submucosal fibroids were excised at the same time, 15 cases of uterine muscular intramural fibroids were partially resected, 2 cases of mediastinal malformations were diagnosed during operation, 2 cases were perforation. This paper argues: ultrasound double contrast TCRE surgery is more safe and reliable than laparoscopy.