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目的探讨宫腔镜电切术过度水化综合征(TURP综合征)的发生原因诊断处理和处理预防措施。方法对2007年1月至2010年12月中宫腔镜电切术过度水化综合征的6例患者进行临床分析。结果子宫肌瘤电切术3例,肌瘤直径74cm,均为内凸型,约为1/4位于肌壁内,术中肌层破坏面积大,宫腔重度粘连电切术3例,宫腔重度肌性粘连,分离后大量血管暴露,创面大。6例经补钠,利尿处理后,症状均得到控制。结论过度水化综合征的发生与复杂的宫腔镜操作导致的子宫内膜,肌层的破坏程度有关。早期诊断治疗,预后良好。而缩短手术时间,控制宫腔压力,减少灌流液的吸收则是预防其发生的关键。
Objective To investigate the causes of hysteroscopic electrosurgical overhydration syndrome (TURP syndrome) diagnosis and treatment and prevention measures. Methods From January 2007 to December 2010 in hysteroscopic electrosurgical hyperhydration syndrome in 6 patients were analyzed. Results 3 cases of uterine fibroids resection, fibroids diameter of 74cm, were convex type, about 1/4 in the muscle wall, intramuscular destruction of large area, severe intrauterine adhesions resection in 3 cases, Palace Cavity severe muscular adhesions, after a large number of vascular exposure, a large wound. 6 cases of sodium supplementation, diuretic treatment, the symptoms are under control. Conclusion The occurrence of hyperhydration syndrome is related to the destruction of endometrium and myometrium caused by complex hysteroscopy. Early diagnosis and treatment, the prognosis is good. And shorten the operation time, control the uterine pressure, reduce the absorption of perfusion fluid is the key to prevent its occurrence.