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目的 探讨超声引导下清宫术在清除产后胎盘残留中的作用。方法 在B型超声引导下 ,对 5 8例产后胎盘残留患者 (其中 10例为剖宫产后胎盘残留 )进行了清宫术 ,并对其安全性、成功率及临床价值进行了研究。结果 一次性手术成功率为 96 5 5 % ,未发生子宫穿孔、清宫不全、子宫切口损伤及大出血等并发症。结论 超声的应用使妇产科常用的非直视宫腔手术成为“直视下”操作 ,对改善宫腔手术操作质量 ,减少并发症的发生具有显著的临床应用价值
Objective To investigate the role of ultrasound-guided curettage in the removal of postpartum placental residue. Methods Fifty-eight patients with residual placenta in the postnatal period (10 cases were residual cesarean section after placenta) underwent B-mode ultrasonography. The safety, success rate and clinical value were studied. Results The success rate of one-time surgery was 96 5 5%. No complications such as uterine perforation, incomplete curettage, uterine incision injury and hemorrhage occurred. Conclusion The application of ultrasound makes obstetrics and gynecology common non-orthoptic uterine surgery become “under the eyesight” operation, to improve the quality of uterine cavity operation and reduce the occurrence of complications has a significant clinical value