Value Of B-mode Ultrasonography Guided Hysteroscopic Resection Of Uterus Mediastinal (enclose Danalysis Of 50 Cases)

Objective 1) of hysteroscopy in the diagnosis of uterine septa. 2) to investigate the treatment of uterine septa and reasonable. Methods A retrospective study in May 2002 ~ January 2009 in Ningxia Medical University Hospital, B-line monitoring of mediastinal under hysteroscopic resection of 50 cases,①Comparison of hysterosalpingography, B ultrasound, Palace Endoscopic examination in the detection rate of uterine septa; evaluation of hysteroscopy in the diagnosis of uterine septa;②Comparison of pregnancy rate in patients before and after surgery, the rate of spontaneous abortion, premature delivery rate, live birth delivery rate of change, evaluation of uterine cavity Mirror in the value of the treatment of uterine septa;③Comparison of intrauterine IUD group and the IUD placement of artificial cycle of treatment group were intrauterine adhesions, the incidence of postoperative adjuvant therapy in the prevention of intrauterine adhesions in the value of . Results 1) 50 cases that underwent hysterosalpingography examination of 13 cases of uterine septum detected in 6 cases, the detection rate of 46.15%; 50 patients were receiving B-mode ultrasound has detected 46 cases of uterine septum The detection rate of 92%; 50 patients underwent hysteroscopy, detected 50 cases of uterine septa, the detection rate of 100% with a septate uterus in 7 (14%); not completely septate uterus, 43 cases (86% ); 50 patients monitored in the B-one-time complete resection of uterine septa, intraoperative uterine perforation in 1 case perforation suture line, stable condition after surgery; There were no intraoperative and postoperative bowel injury and 1 case of water intoxication . 2) After 50 patients were followed up 37 cases, 13 cases were lost to follow up rate of 74%. The study found that 50 patients underwent hysteroscopic resection of uterine septa, spontaneous abortion rate increased from 85.84% before the baseline to 27.90% (P <0.05); live births birth rate increased from 6.20% before rose after the 72.09% (P <0.05); there were significant differences. Pregnancy rate was 94% of preoperative and postoperative pregnancy rate was 94.59%, the pregnancy rate after surgery was no significant difference (P> 0.05). 3) According to the type of hormone therapy after artificial cycle were divided into 2 groups, between each set of data compared using the Fisher exact test (P> 0.05), still can not believe the difference between treatment groups, 4) after simple Palace Cavity IUD artificial cycle in patients with postoperative management of patients + IUD incidence of intrauterine adhesions were significantly different (P <0.05). Conclusions 1) diagnosis of uterine septa hysteroscopy is an ideal method. 2) B of ultrasound guided resection of septum of uterus uterine septum therapy is an ideal method, can improve pregnancy outcome. 3) The artificial cycle therapy + intrauterine placed IUD treatment can effectively prevent the occurrence of intrauterine adhesions.