宫腔粘连的超声诊断价值与治疗监护的前瞻性研究.docVIP

宫腔粘连的超声诊断价值与治疗监护的前瞻性研究 　　【摘要】 目的：探讨超声诊断子宫粘连的声学特征与监护作用。方法：对84例宫腔粘连患者经腹超声检查，观察子宫内膜和宫腔声像改变；其中部分患者在B超监护下行宫腔镜分粘术，对分粘部位和方向实施引导。结果：宫腔粘连超声声像归纳为两种类型，（1）宫腔积液型表现为或轻或重的宫腔分离，内为液性暗区，周边为强回声光带，共18例。（2）宫腔非积液型宫腔线强回声不光滑、不连续、偏心状；或表现为内膜回声不规则，呈低回声，混合性回声，共66例。B超监护下对严重宫腔粘连患者行宫腔镜分粘，共30例，无一例发生穿孔。结论：B超对宫腔粘连的诊断及治疗监护具有较高的实用价值。 　　【关键词】 宫腔粘连； 超声诊断； 监护 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2014）3-0068-02 　　Ultrasound Diagnostic Value of Intrauterine Adhesions and Prospective Studies of Treatment Monitoring/LI Hang，GUO Ying，CHEN Ting-ting.//Chinese and Foreign Medical Research，2014，12（3）：68-69 　　【Abstract】 Objective：To study the acoustic feature of ultrasonic diagnosis of uterine adhesions and monitoring role.Method：Abdominal ultrasound examination in 84 cases caused by intrauterine adhesions，to observe the endometrial uterine cavity audio-visual and change.Some of these patients do hysteroscopy stick under B ultrasonic monitoring，to guide in the points area and direction.Result：Intrauterine adhesions of ultrasonic acoustic image could be summarized as two types，（1）Uterine cavity effusion type characterized by uterine cavity separation light or heavy，for liquid dark space，surrounded by strong echo band，a total of 18 cases.（2）Intrauterine echo caused by intrauterine non effusion caused by was not smooth，discontinuous，eccentric shape；performance for endometrial echo was irregular，hypoechoic and mixed echo totally 66 cases.Under B ultrasound monitoring line of hysteroscopy in patients with severe caused by intrauterine adhesions stick totally 30 patients，no occurred perforation.Conclusion：Ultrasound diagnosis and treatment of monitoring for the intrauterine adhesions has high practical value. 　　【Key words】 Intrauterine adhesion； Ultrasonic diagnosis； Monitoring 　　First-author’s address：The Center Hospital of Anshan City，Anshan 114000，China 　　近年来，由于人工流产增多，且常有不规范的手术操作，致使子宫粘连，包括子宫腔、子宫狭部、宫颈管处因外伤、感染等原因引起的粘连，临床常引起不孕或易流产、早产及产后大出血。临床诊断宫腔粘连目前主要依据子宫输卵管造影、宫腔镜检，应用超声诊断宫腔粘连在国内外少见报道，临床对这种新的检查方法也缺乏认识。本文拟对