摘要
1990年10月~1992年9月,145例月经过多及月经紊乱的患者在超声双项对比法监视下,用泌尿外科的内窥镜切割器行经宫颈子宫内膜切除术(TCRE)。术中监视证实:子宫内壁在高频电热作用下形成的强回声光带是监视TCRE术的超声指征。超声监视下同时切除子宫粘膜下肌瘤30例,部分切除子宫肌壁间肌瘤15例,术中诊断子宫不全纵隔畸形2例,穿孔2例。本文认为:超声双项对比法监视TCRE术较腹腔镜法更为安全、可靠。
From Oct. 1990 to Sep. 1992, 145 patients with chief complaints of menorrhagia and menstrual disorder underwent transcervical resection of endometrium (TCRE) with the urologic resectoscope under the guidance of 'two contrasts method' of ultrasonography. As a result of the high frequency electric effect during the operation, the inner wall became a intensity echo band, which shgwed the operation was completed. The myomas of uterine submucoas in 30 patients were resected and the leiomyomas in 15 patients were ablated under the ultrasonographic monitoring. The uterus subseptus of 2 patients were diagnosed by the 'two contrasts method' during the operation. 2 out of 145 patients were perforated. The monitoring TCRE by the 'two contrasts method' of ultrasonography is more safe and reliable than the monitoring by laparoscope.
出处
《中华超声影像学杂志》
CSCD
1994年第1期29-31,共3页
Chinese Journal of Ultrasonography
关键词
超声监视
子宫内膜
切除术
子宫颈
ultrasonographic monitoring
two contrasts
transcervical resection of endometrium