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中华妇幼临床医学杂志(电子版) ›› 2016, Vol. 12 ›› Issue (03) : 249 -254. doi: 10.3877/cma.j.issn.1673-5250.2016.03.001

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宫腔镜手术并发症的过往及现状
夏恩兰1,()   
  1. 1. 100038 北京,首都医科大学附属复兴医院宫腔镜诊治中心
  • 收稿日期:2016-04-21 修回日期:2016-05-16 出版日期:2016-06-01
  • 通信作者: 夏恩兰

Hysteroscopic surgery complications: past and present situations

Enlan Xia1,()   

  1. 1. Hysteroscopic Diagnosis and Treatment Center, Fuxing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2016-04-21 Revised:2016-05-16 Published:2016-06-01
  • Corresponding author: Enlan Xia
  • About author:
    Corresponding author: Xia Enlan, Email:
引用本文:

夏恩兰. 宫腔镜手术并发症的过往及现状[J]. 中华妇幼临床医学杂志(电子版), 2016, 12(03): 249-254.

Enlan Xia. Hysteroscopic surgery complications: past and present situations[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2016, 12(03): 249-254.

宫腔镜应用于临床已有100多年历史。宫腔镜检查是诊断宫腔内病变的金标准。宫腔镜手术微创、有效,在治疗不孕症、复发性流产、子宫畸形和其他宫腔疾病方面具有无可替代的作用。常见的宫腔镜手术并发症为宫颈撕裂、体液超负荷与电解质紊乱、气体栓塞,以及子宫穿孔、出血、感染和继发于宫腔镜手术后的妊娠子宫破裂等。笔者回顾以往宫腔镜手术并发症发生情况,引以为戒,探讨宫腔镜手术并发症发生的原因及预防方法,以提高宫腔镜手术安全性。

The clinical application of hysteroscopy has 100 years history. Hysteroscopic examination is the gold standard in the diagnosis of intrauterine lesions. Hysteroscopic surgery is minimally invasive, effective and has irreplaceable important role in the treatment of infertility, recurrent miscarriage, uterine malformations and other uterine lesions. Common complications of hysteroscopy are the cervical laceration, fluid overload and electrolyte disorder, gas embolism, uterine perforation, bleeding, infection and pregnant uterine rupture secondary to hysteroscopic surgery etc.. In order to improve the safety of hysteroscopic surgery, this paper reviews previous hysteroscopic surgery complications, to explore the reasons and preventive methods on complications of hysteroscopic surgery.

表1 宫腔镜手术并发症的相关因素
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