清宫术

药物流产十清宫术组中EmAb的产生率最高（6250%）。

EMAb in drug abortion and adding complete curettage of uterine cavity is the highest ( 62 50 % ) .

我院治疗方式包括单独或联合应用甲氨蝶呤（methotrexate，MTX）全身或局部给药、子宫动脉栓塞术、介入化疗、腹腔镜下病灶切除术、开腹子宫病灶切除术、清宫术等。

The methods of treatment in our hospital included systemic or local methotrexate administration , uterine artery embolization , interventional chemotherapy , hysteroscopy and lesion excision , laparotomy and curettage .

结果183例宫内残留物全部经清宫术后病理证实。尿HCG阳性171例，占93.4%（171/183），阴性12例，占6.6%（12/183）。

Results The 183 cases were all confirmed by pathology including 171 positive cases in HCG test ( 93.4 % , 171 / 183 ) and 12 negative cases ( 6.6 % , 12 / 183 ) .

结论：药物流产不全或失败者，5h内行主动清宫术，能够解除药物流产后阴道出血过多、过长的原因，减少药物流产并发症；

Conclusion : If the pregnant women with incomplete or unsuccessful abortion are operated on with active curettage within 5 hours , the causes of excessive vaginal bleeding for long period can be dissolved , and the complications of drug abortion can be decreased ;

8例患者中4例经药物保守治疗后在超声监测下行清宫术，2例采用子宫动脉栓塞术（UAE）治疗，2例由于难以控制的大出血，瘢痕部位无法修补而行全子宫切除。

Four cases in the 8 patients were performed with ultrasound-guided curettage after the conservative drug treatment . Two cases were treated with uterine artery embolization ( UAE ) . Two cases were performed hysterectomy because of the uncontrollable vaginal bleeding and the unable to repair scar parts .

手法固定宫体清宫术的体会

Experience of intrauterine section with manual fixed uterine body

超声引导下实时清宫术在临床上的应用价值

Clinical Value of Ultrasound Guided Curettage of Uterine Cavity

丙泊酚-氟比洛芬酯镇痛对清宫术后子宫收缩痛的影响

Effect of propofol with flurbiprofen axetil on postoperative pain of dilatation and curettage

超声适时监视下清宫术39例

39 cases of Curettage under timely ultrasonic surveillance

床旁经腹部超声引导在清宫术及取环术中的应用

Application of Per-abdomen Ultrasonic Guidance to Uterine Curettage and Drawing out Intrauterine Contraceptive Device

结果14例不典型宫内残留物全部经清宫术后病理证实。

Results The 14 cases were all confirmed by post-operative pathology of womb cleansing .

药物流产联合清宫术治疗稽留流产32例

Combination of drug-induced abortion and curettage for treatment of 32 cases of missed abortion

药物流产观察标准及主动清宫术降低并发症探讨

On the standards of observation of drug abortion and the complications of active curettage

目的评价口服流产药物配合清宫术治疗稽留流产的疗效。

Objective To evaluate the efficacy of abortive medicine combined with on missed abortion .

而对照组8例中，5例行清宫术，1例行全宫切除。

But in the control group , 5 received uterine curettage and 1 total uterectomy .

心语疏通在药物流产不全后清宫术者中的应用

Heart word dredge applied to patient undergoing uterus content clearance after incomplete abortion by drug

丙泊酚用于中期妊娠引产后清宫术的麻醉效果观察

The clinical assay of Propofol used in the post-odinopoeia artificial abortion during the pregnancy metaphase

方法分析6例植入性胎盘在介入治疗前后的声像图特点及超声在清宫术中的引导作用。

Methods The features of implanted placenta on ultrasound and color Doppler flowing imaging in 6 cases were analyzed .

80例为对照组；采用宫颈钳固定宫体清宫术。

80 patients were belong to control group , they were performed intrauterine section fixed with cervix uterine clamp .

结论：B超引导清宫术直观、准确、安全，可在临床应用。

Conclusion : The curettement guided by B ultrasound is accurate and safe , and can be universally used in clinic .

氨甲喋呤治疗加清宫术可作为治疗子宫部位异位妊娠的主要方法。

Administration of MTX combined with dilatation and curettage is an main therapeutic method in handling ectopic pregnancy in the uterus .

结果：治疗组9例胎盘植入患者全部免行清宫术及子宫切除而获痊愈。

The results showed that all of the cases in the treatment group were cured and no one case received uterine curettage or uterectomy .

本组病例采取清宫术、宫缩剂及抗感染等对症治疗，2例行次全宫切除术，1例行全宫切除术。

An the cases were treated with uterine curettage , oxytocics and antibiotics , 2 cases with subtotal hysterectomy , 1 case with total hysterectomy .

结论稽留流产清宫术后服用短效避孕药“优思明”对宫腔粘连有较好的预防作用，值得临床上广泛应用。

Conclusion Qing missed abortion were treated with short-acting contraceptives ," Yasmin " to better prevention of intrauterine adhesions role , it is widely used clinically .

目的：评价在B超实时监控下指导子宫畸形早孕期人工流产术（简称：人流术）及不全流产清宫术中的临床应用价值。

Objective : To assess the clinical value of B mode ultrasound in complete curettage of incomplete abortion and induced abortion of first trimester women with uterus anomaly .

材料与方法：48例宫内节育器、胚胎或胎盘残留宫腔的患者，在常规清宫术或取环术失败后行宫腔镜手术治疗。

Material and Methods : Hysteroscopy was performed in 48 patients with remained intrauterine device , embryo and placenta after failure of a general uterine curettage and remove of intrauterine divice .

组织学上，葡萄胎有粗大无血管的绒毛和增生的滋养层。超声确诊后，行清宫术。

Histologically , the hydatidiform mole has large avascular villi and areas of trophoblastic proliferation . Of course , ultrasound confirms the diagnosis before currettage is done to evacuate this tissue seen here .

结果：研究组清宫术345（35.9%）例，对照组21（10.3%）例；

Results : 345 cases ( 35 9 % ) of curettage in the study group are significantly higer than 21 cases ( 10 3 % ) in the control group ( P < 0 001 );

目的：探讨药物流产后阴道出血行清宫0术的指征。

Objective : To inquire the indication of curettage in vaginal bleeding after drug abortion .

依托咪酯用于中期妊娠引产时清宫、钳刮术麻醉效果的观察

Clinical Observation on Anesthetic Effect of Etomidate during Curettage and Evacuation of Uterus