中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2010年
17期
1197-1199
,共3页
黄东%金晓莹%匡琳%林小娜%宋光辉%周枫%李超%竺海燕%童晓嵋%张松英
黃東%金曉瑩%劻琳%林小娜%宋光輝%週楓%李超%竺海燕%童曉嵋%張鬆英
황동%금효형%광림%림소나%송광휘%주풍%리초%축해연%동효미%장송영
子宫完全纵隔%剪刀%剪开术
子宮完全縱隔%剪刀%剪開術
자궁완전종격%전도%전개술
Complete septate uteri%Scissors%Transcervical incision
目的 评价应用Metzenbaum剪刀辅助的子宫完全纵隔剪开术的临床效果.方法 收治子宫完全纵隔患者8例,年龄24～39岁,均经宫腔镜检查确诊,应用Metzenbaum剪刀及宫腔镜直视下分别行宫颈纵隔和子宫纵隔剪开术及腹腔镜下相关疾病处理.结果 8例剪开术均一次顺利完成,无子宫穿孔、盆腔脏器损伤、水中毒等并发症出现,手术时间5～10 min.术后3个月,宫腔镜复查宫腔形态正常,无粘连及瘢痕形成.结论 应用Metzenbaum剪刀辅助剪开子宫完全纵隔的宫颈纵隔,再在宫腔镜直视下剪开宫体纵隔,操作方便、快速、安全,且不影响子宫内膜的生长.
目的 評價應用Metzenbaum剪刀輔助的子宮完全縱隔剪開術的臨床效果.方法 收治子宮完全縱隔患者8例,年齡24～39歲,均經宮腔鏡檢查確診,應用Metzenbaum剪刀及宮腔鏡直視下分彆行宮頸縱隔和子宮縱隔剪開術及腹腔鏡下相關疾病處理.結果 8例剪開術均一次順利完成,無子宮穿孔、盆腔髒器損傷、水中毒等併髮癥齣現,手術時間5～10 min.術後3箇月,宮腔鏡複查宮腔形態正常,無粘連及瘢痕形成.結論 應用Metzenbaum剪刀輔助剪開子宮完全縱隔的宮頸縱隔,再在宮腔鏡直視下剪開宮體縱隔,操作方便、快速、安全,且不影響子宮內膜的生長.
목적 평개응용Metzenbaum전도보조적자궁완전종격전개술적림상효과.방법 수치자궁완전종격환자8례,년령24～39세,균경궁강경검사학진,응용Metzenbaum전도급궁강경직시하분별행궁경종격화자궁종격전개술급복강경하상관질병처리.결과 8례전개술균일차순리완성,무자궁천공、분강장기손상、수중독등병발증출현,수술시간5～10 min.술후3개월,궁강경복사궁강형태정상,무점련급반흔형성.결론 응용Metzenbaum전도보조전개자궁완전종격적궁경종격,재재궁강경직시하전개궁체종격,조작방편、쾌속、안전,차불영향자궁내막적생장.
Objective To evaluate the clinical efficacy of Metzenbaum scissors in the transcervical incision of a complete septate uterus. Methods Eight patients with a complete septate uterus were identified and recruited. The age range was 24 to 39 years old. After diagnosis by hysteroscopy, the transcervical incision was performed by Metzenbaum scissors and followed by hysteroscopic incision of corporal portion. The associated diseases were treated using laparoscopy. Results All patients were successfully treated and the operation duration was 5-10 minutes. The postoperative period was uneventful and there was no perforation, pelvic organ damage or water intoxication. Three months later, hysteroscopy revealed no uterine scarring or adhesion. And the shape of uterine cavity was normal. Conclusion Using Metzenbaum scissors for transcervical incision of cervical portion of complete septate uterus, followed by hysteroscopic incision of corporal portion, is convenient, fast and safe. This approach has no effect upon the growth of endometrium.
