子宫内膜骨化的成功诊断性和手术性宫腔镜检查。
Successful diagnostic and surgical hysteroscopy for endometrial ossification.
作者信息
Pace S, Torcia F, Palazzetti P L, Piazze J J, Cipriano L, Pachì A
机构信息
2nd Institute of Obstetrics and Gynecology La Sapienza, University of Rome, Italy.
出版信息
Clin Exp Obstet Gynecol. 2001;28(1):24-5.
PURPOSE OF INVESTIGATION
Diagnostic-operative hysteroscopy was successful in two cases of endometrial ossification, and fertility was restored.
METHODS
A 30-year-old and a 32-year-old woman presented at our Department with a history of secondary infertility, complaining of pelvic pain, dysmenorrhea and polymenorrhea which lasted for about one year before admission. Previous ultrasound studies revealed the presence of two bright hyperechogenic bands with posterior shadowing.
RESULTS
In both cases diagnostic-operative hysteroscopies were performed, displaying osseous fragments which were removed with resectoscopy, mainly mechanically.
CONCLUSION
Hysteroscopic resection should be the elective treatment for endometrial ossification because it allows complete removal of osseous fragments and reduces the chance of residual synechia. The mean objective of hysteroscopy in endometrial ossification is the restitution of conceivement capability.
研究目的
诊断性手术宫腔镜检查在两例子宫内膜骨化病例中取得成功，恢复了生育能力。
方法
一名30岁和一名32岁女性因继发性不孕史前来我院就诊，主诉盆腔疼痛、痛经和月经过多，入院前持续约一年。先前的超声检查显示有两条明亮的高回声带并伴有后方声影。
结果
两例均进行了诊断性手术宫腔镜检查，显示有骨碎片，主要通过机械方式用切除镜将其取出。
结论
宫腔镜切除术应作为子宫内膜骨化的首选治疗方法，因为它能完全清除骨碎片并减少残留粘连的机会。宫腔镜治疗子宫内膜骨化的主要目的是恢复受孕能力。
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