【摘要】 目的 探讨宫腔镜电切术在治疗子宫纵隔中的作用。 方法 对39例子宫纵隔患者的诊断及在B超监护下行宫腔镜子宫纵隔电切术的效果进行回顾性分析。 结果 B超诊断符合率82.05%(32/39)，子宫输卵管造影诊断符合率51.28%(20/39)，宫腔镜诊断符合率100%(39/39)。术中均采用B超监护，手术顺利，无并发症发生。术后随访39例，流产率由术前的89.74%降至术后的43.24%(16/37)，妊娠率为94.87%(37/39)，其中11例已足月妊娠分娩。 结论 宫腔镜检查是诊断子宫纵隔的最准确的方法，B超监护下的宫腔镜电切术是治疗子宫纵隔的理想方法。

    关键词 宫腔镜 子宫纵隔 超声

    Clinical study of hysteroscopic electrotomy on treatment of uterine septum

    Gao Jianwu

    Department of Obstetrics and Gynecology，Xuzhou Central Hospital，Xuzhou221009.

    【Abstract】 Objective To evaluate the clinical effect of treatment in uterine septum by hysteroscopy.Meth-ods Thirty-nine cases of uterine septum were retrospectively analyzed after confirmed by hysteroscope and treated by transcervical hysteroscopic resection of septum(TCRS)with being monitored by B-ultrasound.Results B-ultra-sound was in agreement with32of39patients(82.05%) ......