流产后宫腔镜检查——一种早期诊断先天性和后天性宫内流产原因的方法。
Post-abortion-hysteroscopy--a method for early diagnosis of congenital and acquired intrauterine causes of abortions.
作者信息
Römer T
机构信息
Department of Obstetrics and Gynaecology, Ernst Moritz Arndt University, Greifswald, Germany.
出版信息
Eur J Obstet Gynecol Reprod Biol. 1994 Dec;57(3):171-3. doi: 10.1016/0028-2243(94)90295-x.
OBJECTIVE
A prospective study was conducted on the incidence of intrauterine pathology diagnosed by hysteroscopy.
STUDY DESIGN
A hysteroscopy was performed in 53 women 6-12 weeks after a dilatation and curettage for incomplete abortions or missed abortions.
RESULTS
Uterus malformations were found in 11 patients, submucous myoma in two and a corpus polyp in one. The main findings were intrauterine adhesions in 16 cases. The incidence of intrauterine adhesions was about the same after incomplete abortions and after missed abortions, but in patients with recurrent abortions the incidence was significantly higher than in patients after first abortion (47.6% versus 18.8%).
CONCLUSION
Post-abortion-hysteroscopy is a simple and useful method for early diagnosis of acquired and congenital intrauterine pathology after abortions.
目的
对宫腔镜诊断的宫内病变发生率进行前瞻性研究。
研究设计
对53名在因不全流产或稽留流产行刮宫术后6至12周的女性进行了宫腔镜检查。
结果
发现11例子宫畸形，2例黏膜下肌瘤，1例子宫息肉。主要发现为16例宫腔粘连。不全流产和稽留流产后宫腔粘连的发生率大致相同，但复发性流产患者的发生率显著高于首次流产患者（47.6%对18.8%）。
结论
流产后宫腔镜检查是早期诊断流产后获得性和先天性宫内病变的一种简单且有用的方法。
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