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子宫内异物——诊断性和治疗性宫腔镜检查

[Corpus alienum in the uterus--diagnostic and therapeutic hysteroscopy].

作者信息

Tiufekchieva E

出版信息

Akush Ginekol (Sofiia). 2007;46(5):28-32.

Abstract

The aim of the authors is to assess the potentialities and the application of hysteroscopy for diagnosis and treatment in cases of foreign body in the uterine cavity. Twenty eight women with different kinds of foreign bodies are included in the research: 17 patients with "lost" IUD in utero after failed attempts for blind extraction; 4 cases with unresorbed sutures after cesarean section; 1 case of uterine tamponade, incorporated in the uterine cesarean suture; 5 cases of residual tissue after interrupted pregnancies and unsuccessful D&C. The clinical symptoms, the hysteroscopic findings, the used equipment, the complications and the postoperative results are described. A conclusion is made about the advantages of the hysteroscopy over the "blind" extraction and, for this reason, that hysteroscopy should be the method of choice for diagnosis and treatment in case of corpus alienum in the uterus.

摘要

作者的目的是评估宫腔镜检查在宫腔异物诊断和治疗中的潜力及应用。28例患有不同类型异物的女性被纳入研究:17例在盲目取出失败后子宫内“遗留”宫内节育器;4例剖宫产术后缝线未吸收;1例子宫压迫填塞物,嵌入子宫剖宫产缝合处;5例人工流产不全和刮宫术失败后残留组织。描述了临床症状、宫腔镜检查结果、使用的设备、并发症及术后结果。得出了宫腔镜检查优于“盲目”取出的结论,因此,宫腔镜检查应成为子宫内异物诊断和治疗的首选方法。

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