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目的分析宫腔妊娠物残留原因及宫腔镜手术的清宫效果。方法回顾性分析73例患者宫腔妊娠物残留的原因和宫腔镜诊治效果的临床资料。结果宫腔镜术中探查发现,35例患者残留物位于或偏于宫角,5例合并子宫纵隔,6例合并宫腔粘连,8例残留组织与宫壁致密粘连。73例均一次性清理成功,无相关并发症发生。月经恢复后11例经量减少,其中1例因宫腔粘连再次行宫腔镜手术。7例再次妊娠,其中2例足月分娩,1例因稽留流产再次手术,1例行人工流产术,3例在妊娠中。结论导致宫腔妊娠物残留的原因多样,对宫内妊娠物残留患者应首先考虑宫腔镜手术,以减少盲目清宫带来的损伤。
Objective To analyze the causes of uterine pregnancy and the effect of hysteroscopic surgery. Methods Retrospective analysis of 73 cases of uterine pregnancy causes of residual and hysteroscopic diagnosis and treatment of clinical data. Results The results of hysteroscopy found that 35 patients were located in or partial to the Palace of the residue, 5 cases combined uterine mediastinal, 6 cases of intrauterine adhesions, 8 cases of residual tissue and dense adhesion of the uterine wall. 73 cases were a one-time clean-up, no related complications. After menstruation, 11 cases of menstruation decreased, of which 1 case of uterine adhesions hysteroscopic surgery again. Seven cases of pregnancy again, of which 2 cases of full-term delivery, 1 case of missed abortion again surgery, 1 case of induced abortion, 3 cases of pregnancy. Conclusion The causes of uterine pregnancy caused by various reasons, the residual intrauterine pregnancy patients should first consider the hysteroscopic surgery to reduce the damage caused by blind Qing.