Sullivan B, Kenney P, Seibel M
Department of Surgery, University of Massachusetts Medical School, Faulkner Hospital, Boston.
Obstet Gynecol. 1992 Sep;80(3 Pt 2):546-7.
Hysteroscopy is being used increasingly, especially as a means of performing uterine surgery. Uterine perforation is the most frequent complication of hysteroscopy.
A 31-year-old woman sustained uterine perforation with a resectoscope during hysteroscopic resection of a pedunculated myoma. The perforation was identified laparoscopically, but laparotomy was necessary to assess the pelvic viscera fully. Perforation of the sigmoid was discovered and the defect was repaired primarily.
Laparoscopy may be insufficient to evaluate fully the possible sequelae of uterine perforation. Penetrating thermal injury to the colon can be managed successfully with primary repair.
宫腔镜检查的应用日益广泛，尤其是作为一种进行子宫手术的手段。子宫穿孔是宫腔镜检查最常见的并发症。
一名31岁女性在宫腔镜下切除带蒂肌瘤时，使用电切镜导致子宫穿孔。穿孔通过腹腔镜检查得以确认，但为了全面评估盆腔脏器，有必要进行剖腹手术。术中发现乙状结肠穿孔，并对缺损进行了一期修复。
腹腔镜检查可能不足以全面评估子宫穿孔可能产生的后遗症。结肠穿透性热损伤可以通过一期修复成功处理。
