宫腔镜治疗残留滋养细胞组织与生殖结局：一项初步研究。
Hysteroscopic management of residual trophoblastic tissue and reproductive outcome: a pilot study.
作者信息
Faivre Erika, Deffieux Xavier, Mrazguia Chaouki, Gervaise Amélie, Chauveaud-Lambling Aurélia, Frydman René, Fernandez Hervé
机构信息
University of Paris-Sud, Clamart, France.
出版信息
J Minim Invasive Gynecol. 2009 Jul-Aug;16(4):487-90. doi: 10.1016/j.jmig.2009.04.011.
We report on the feasibility, efficiency, and reproductive outcomes of hysteroscopic resection of late residual trophoblastic tissue in 50 patients in an observational study over 6 years. Complete evacuation of the uterus was achieved in all patients by hysteroscopy. The median operative time was 21 (15-30) min. Only one surgical complication was registered: a uterine perforation in a patient with previous metroplasty. Hysteroscopic resection of persistent trophoblastic tissue seems to be a safe and efficient procedure that could be proposed as an alternative to conventional non-selective blind curettage. We would also recommend systematic second-look hysteroscopy to asess the exact prevalence of post-procedure intrauterine adhesions.
我们在一项为期6年的观察性研究中报告了50例患者宫腔镜切除晚期残留滋养层组织的可行性、效率及生殖结局。所有患者均通过宫腔镜实现了子宫完全排空。中位手术时间为21（15 - 30）分钟。仅记录到1例手术并发症：1例曾行子宫成形术的患者发生子宫穿孔。宫腔镜切除持续性滋养层组织似乎是一种安全有效的手术，可作为传统非选择性盲目刮宫的替代方法。我们还建议进行系统性二次宫腔镜检查，以评估术后宫腔粘连的确切发生率。
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