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目的探讨宫腔镜引导下联合B超行再次清宫朮的临床价值。方法对早孕人工流产21600人次中27例漏吸者采取B超确诊,在宫腔镜引导下行再次清宫术;对这些病例的临床资料进行回顾性分析方法分析。结果早孕人工流产中27例漏吸者经B超确认宫腔内仍有胎囊后,在宫腔镜引导监视下的再清宫术均获成功。手术经过顺利,出血少,手术时间为3~5min,术后随访无感染、水中毒和子宫穿孔、宫腔粘连、月经失调等并发症。结论在宫腔镜引导下联合B超行再次清宫朮具有微创、无痛苦、出血少、恢复快、疗效好等优点,是目前对子宫内膜和母体创伤最小、最人性化的人流补救方式,值得推广。
Objective To investigate the clinical value of hysteroscopic guided reoperation combined with recurrent radical mastectomy. Methods Twenty-seven cases of induced abortion in 21,600 induced abortion in early pregnancy were diagnosed by B-mode ultrasonography and recurred by hysteroscopy. The clinical data of these cases were analyzed retrospectively. Results 27 cases of early pregnancy induced abortion in patients with leakage through the B-ultrasound is still intrauterine fetal capsule, hysteroscopic guidance under the supervision of re-curettage were successful. The operation went through smoothly with less bleeding and the operation time was 3 to 5 minutes. There were no postoperative infection, water poisoning and uterine perforation, intrauterine adhesions, menstrual disorders and other complications. Conclusion Under the guidance of hysteroscopy combined with B-line re-curettage has the advantages of minimally invasive, painless, less bleeding, rapid recovery, good curative effect, etc. It is the smallest, most humanized flow recovery method for endometrial and maternal trauma , Worth promoting.