CAJ | 학술논문

目的：探讨宫腔镜在宫腔粘连合并稽留流产或合并妊娠物残留清宫失败诊治中的应用价值。方法分析21例宫腔粘连合并稽留流产或合并妊娠物残留清宫失败患者经宫腔镜的诊治过程，临床随访术后宫腔粘连的治愈率。结果21例宫腔粘连合并稽留流产或合并妊娠物残留清宫失败患者均经宫腔镜检查明确诊断并行宫腔镜下宫腔粘连切除术+清宫术，术后辅以人工周期治疗3个月，宫腔粘连治疗有效率71.4%，但术后子宫内膜厚度未能达到正常范围。结论宫腔镜检查能确诊宫腔粘连合并稽留流产或合并妊娠物残留，宫腔镜下宫腔粘连切除术+清宫术是宫腔粘连合并稽留流产或合并妊娠物残留有效、微创、安全的治疗方法。
목적：탐토궁강경재궁강점련합병계류유산혹합병임신물잔류청궁실패진치중적응용개치。방법분석21례궁강점련합병계류유산혹합병임신물잔류청궁실패환자경궁강경적진치과정，림상수방술후궁강점련적치유솔。결과21례궁강점련합병계류유산혹합병임신물잔류청궁실패환자균경궁강경검사명학진단병행궁강경하궁강점련절제술+청궁술，술후보이인공주기치료3개월，궁강점련치료유효솔71.4%，단술후자궁내막후도미능체도정상범위。결론궁강경검사능학진궁강점련합병계류유산혹합병임신물잔류，궁강경하궁강점련절제술+청궁술시궁강점련합병계류유산혹합병임신물잔류유효、미창、안전적치료방법。
Objective To investigate the application value of hysteroscope in intrauterine adhesion complicated with missed abortion or fetal tissue remaining after failed complete curettage of uterine cavity. Methods Process of hysteroscopic diagnosis and treatment in 21 intrauterine adhesion patients complicated with missed abortion or fetal tissue remaining after failed complete curettage of uterine cavity were analyzed. Cure rate of postoperative intrauterine adhesion was provided by clinical follow-up.Results All the 21 cases with intrauterine adhesion complicated with missed abortion or fetal tissue remaining after failed complete curettage of uterine cavity were examined by hysteroscope, and underwent hysteroscopic electrotomy+complete curettage of uterine cavity. After surgery, 3-month artificial menstrual cycle treatment was given to the patients. The effective rate of intrauterine adhesion treatment was 71.4%, but the postoperative endometrial thickness did not meet the normal range.Conclusion Hysteroscopic examination is a good way to determine intrauterine adhesion complicated with missed abortion or fetal tissue remaining after failed complete curettage of uterine cavity. Hysteroscopic electrotomy+complete curettage of uterine cavity are effective, safe and minimally invasive treatment methods of intrauterine adhesion complicated with missed abortion or fetal tissue remaining after failed complete curettage of uterine cavity.