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目的探讨利用宫腔镜剪刀分离宫腔粘连手术的疗效与安全性。方法利用宫腔镜剪刀分离宫腔粘连手术42例，分析术中效果，观察术后宫腔粘连恢复情况及术后月经恢复情况及术后妊娠情况。结果42例宫腔粘连患者手术均在宫腔镜下完成粘连分离术，无手术并发症。手术成功率88.1%，术后复查宫腔恢复满意率73.8%，再次手术率26.2%，术后月经改善率为77.4%，术后妊娠率45.2%，活产率57.9%。结论利用宫腔镜剪刀分离宫腔粘连手术安全有效。
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更新时间：2015-03-25
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宫腔镜剪刀在宫腔粘连分离中的应用
The application of hysteroscopic scissors in adhesiolysis of intrauterine adhesion
微创医学 201405期 页码：573-575
作者机构：(广西医科大学第一附属医院计划生育科,南宁市530021)
基金信息：（广西医科大学第一附属医院计划生育科，南宁市530021）作者简介：植枝福（1979～），男，硕士，主治医师，
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- 英文简介
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ObjectiveTo explore the effect and safety of hysteroscopic scissors in adhesiolysis of intrauterine adhesion. MethodsHysteroscopic scissors were used in forty two patients of intrauterine adhesion for adhesiolysis. Intraoperative effects were analyzed, and postoperative intrauterine adhesions, menstruation recovery, and pregnancies were observed. ResultsAll 42 patients u nderwent hysteroscopic adhesiolysis smoothly, and no operative complication was recorded. Operation success rate was 88.1%, with postoperative intrauterine recovery rate as 73.8%, second surgery rate as 26.2%, menstruation recovery rate as 77.4%, pregnancy rate as 45.2% ,and live birth rate as 57.8%. ConclusionThe application of hysteroscopic scissors in adhesiolysis of intrauterine adhesion is safe and effective.
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