超声引导下非交通性子宫腔的贯通术
Ultrasound-guided unification of noncommunicating uterine cavities.
作者信息
Mullesserill Bijoy T, Dumesic Daniel A, Damario Mark A, Session Donna R
机构信息
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA.
出版信息
JSLS. 2003 Apr-Jun;7(2):155-7.
BACKGROUND
The benefits of ultrasound-guided hysteroscopic metroplasty have been well described in the management of the partial septate uterus. The use of ultrasonography at the time of hysteroscopy provides visualization of the intrauterine instruments within the uterine cavity. This report describes a case where ultrasound-guidance was used to enter a noncommunicating uterine cavity hysteroscopically.
METHODS
A 22-year-old female after her third miscarriage experienced worsening dysmenorrhea. The patient underwent a laparoscopy and hysteroscopy to further evaluate the cause of pelvic pain and to treat the Müllerian anomaly. Under ultrasound-guidance, the 2 uterine cavities were unified by hysteroscopic metroplasty.
RESULTS
Postoperative sonohysterography demonstrated unification of the 2 cavities.
CONCLUSIONS
This unique application of ultrasound-guidance in hysteroscopic surgery may aid the surgeon in entering a noncommunicating uterine cavity.
背景
超声引导下宫腔镜子宫成形术在部分纵隔子宫的治疗中所带来的益处已得到充分描述。宫腔镜检查时使用超声可使宫腔内器械可视化。本报告描述了一例在超声引导下经宫腔镜进入非交通性子宫腔的病例。
方法
一名22岁女性在第三次流产后痛经加重。患者接受了腹腔镜检查和宫腔镜检查，以进一步评估盆腔疼痛的原因并治疗苗勒管畸形。在超声引导下，通过宫腔镜子宫成形术使两个子宫腔合一。
结果
术后子宫输卵管超声造影显示两个腔已合一。
结论
超声引导在宫腔镜手术中的这种独特应用可能有助于外科医生进入非交通性子宫腔。
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