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腹腔镜在宫腔镜手术中的监护作用 被引量:3

Hysteroscopic surgery monitored by laparoscopy
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摘要 目的 :探讨宫腔镜手术时腹腔镜监护的临床价值。方法 :电视腹腔镜监护下 ,为 6 4例高危患者行宫腔镜电切术。结果 :腹腔镜监护见盆腔并存病变 9例 ,术中局部浆膜起泡 2例 ,子宫不全穿孔 1例 ,术毕见子宫穿孔 1例 ,同时经腹腔镜处理。结论 :腹腔镜监护宫腔镜手术可及时发现子宫穿孔 ,并行腹腔镜下电凝止血及缝合 。 Objective:To study the clinical value of laparoscopy in hysteroscopic surgery.Methods:64 cases with high risk procedures were made transcervical resection of endometrium (TCRE) under the monitoring of laparoscopy.Results:9 cases had complicated pelvic diseases,2 cases had serosa bubble and 1 case had incomplete uterine perforation. While the operation finished, 1 case was found uterine perforation and treated under laparoscopy.Conclusions:Hysteroscopic procedures monitored by laparoscopy can be used to find the uterine perforation,and coagulate bleeding and suture the cleft,impeding the incidence of uterine perforation effectively.
出处 《腹腔镜外科杂志》 2003年第1期50-51,共2页 Journal of Laparoscopic Surgery
关键词 宫腔镜 腹腔镜 子宫穿孔 Hysteroscopy Laparoscopy Uterine perforation
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参考文献4

  • 1[1]Hallez JP, Nether A, Cartier R. Methodical intrauterine resection[J].Am J Obstet Cynaecol,1987,156:1080-1084.
  • 2[2]Hill DJ, Marher Peter. Intrauterine surgery using electrocautery[J]. Aust ZN J Obstet Gynaecol,1990,30:145-146.
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