CAJ | 학술논문

目的：探讨超声联合宫腔镜检查在陈旧性宫腔假道诊断中的应用价值。方法2012年5月～2013年5月，我中心采用超声联合宫腔镜检查3437例，发现陈旧性宫腔假道4例。宫腔检查镜在超声引导下沿宫腔方向置入，超声探头在耻骨联合上方做横切与纵切，以宫内的膨宫液作为参照，进行全方位的观察。结果子宫前倾2例，子宫后倾2例；宫颈内口狭窄1例，宫颈内口粘连1例，无宫颈内口狭窄及粘连2例。2例陈旧性宫腔假道位于前壁，2例位于后壁，其中距离浆膜面最薄处约3 mm，宫腔假道深度3～4 cm。结论超声联合宫腔镜检查能够明确宫腔内膜线的部位，提高宫腔内病变诊断和治疗的准确性。
목적：탐토초성연합궁강경검사재진구성궁강가도진단중적응용개치。방법2012년5월～2013년5월，아중심채용초성연합궁강경검사3437례，발현진구성궁강가도4례。궁강검사경재초성인도하연궁강방향치입，초성탐두재치골연합상방주횡절여종절，이궁내적팽궁액작위삼조，진행전방위적관찰。결과자궁전경2례，자궁후경2례；궁경내구협착1례，궁경내구점련1례，무궁경내구협착급점련2례。2례진구성궁강가도위우전벽，2례위우후벽，기중거리장막면최박처약3 mm，궁강가도심도3～4 cm。결론초성연합궁강경검사능구명학궁강내막선적부위，제고궁강내병변진단화치료적준학성。
Objective To explore the application of ultrasonography combined with hysteroscopy for the diagnosis of dated uterine false passage. Methods From May 2012 to May 2013, a total of 3437 cases were examined in the center by ultrasonic monitoring combined with hysteroscopic examinations.Dated uterine false passage was found in 4 cases.Under the guidance of ultrasonography, the hysteroscope was introduced into the uterine cavity.The ultrasonic probe was put at the site above the pubic symphysis for comprehensive examinations, with uterine distention fluid as reference. Results There were 2 cases of uterine anteversion and 2 cases of retroversion.There were 1 case of intracervical mouth stenosis, 1 case of intracervical mouth adhesion, and no intracervical mouth stricture or adhesion in 2 cases.The uterine false passage was located in the anterior wall in 2 cases and located in the back wall in 2 cases.The distance to serosal surface was about 3 mm at the thinnest place.The uterine false passage was 3-4 cm in depth. Conclusion Ultrasound monitoring combined with hysteroscopic examination can determine the part of the uterine endometrium line, improve the accuracy of diagnosis and treatment of intrauterine lesions.