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Clinical analysis diagnosis and treatment of 23 uterine cavity lesions with uterine false passage by hysteroscopy combined with B ultrasound

Objective To investigate the clinical value of diagnosis and treatment of intrauterine lesions associated with false passage in uterine by hysteroscopy combined B ultrasound. Methods A total of 23 patients with intrauterine lesions associated with false passage in uterine who diagnosed and treated hysteroscopy combined with B ultrasound from December 2010 to December2013 were enrolled, which aged 22- 65 years old. Among 23 cases, there were 5 cases of abnormal vaginal bleeding, 1 of amenorrhea, 2 of infertility, 8 of embryo residues, 5 of intrauterine device removal failure and 2 of intrauterine adhesions. All of them received hysteroscopy combined with B ultrasound, and performed hysteroscopy resection surgery or removal surgery in necessary.Results Twenty-three patients were diagnosed uterine false passage definitely by hysteroscopy combined B ultrasound. After that 8 cases performed hysteroscopy embryo residues resection, 5 performed removal surgery by hysteroscopy, 2 performed intrauterine adhesions resection by hysteroscopy and 1 performed laparoscopic suturing of uterine false passage. The operative time was 5- 40 minutes, and amount of blooding in operation was 5.0- 30.0 m L. There was no uterine perforation, air embolism and transurethral resection syndrome and other complications occurred. Conclusion It is demonstrated that hysteroscopy combined with B ultrasound for uterine false passage in intensive care cautious is feasible and safety.