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宫腔镜取胚术与无痛人流有什么区别 封全灵 郑州大学第三附属医院 宫腔镜取胚和人工流产没有什么太大的区别。通常的人工流产有以下几种手段:无痛人流、宫腔镜下人流术、无痛可视人流等,这些人流的操作基本都是一样的,都是通过某种手段来了解胚物的位置,来保证手术的安全。通常是在B超监视下进行人流的操作,可以看到吸引器、子宫、胚胎的位置,这样可以很精准的进行人流的操作,宫腔镜胚物取出术是有一定风险的,因为宫腔镜是需要膨宫的,一些病人在宫腔的血管会有怒张的情况,这时如果膨宫的话,一些膨宫的介质会进入到血管里面,造成栓塞,是非常危险的情况,所以通常不建议做宫腔镜取胚术,但是对那些人流术后子宫恢复很好、子宫腔不大、出血很少,怀疑宫腔有问题的情况,可以在人流以后通过宫腔镜检查下宫腔的形态,比如子宫腔恢复得很好,用宫腔镜进去看看有没有胚物残留,看看以前有没有宫腔粘连,有没有其他的宫腔病变都是可以的,但是不主张常规的做宫腔镜下的人工流产术,这是有一定的风险的。 What is the difference between hysteroscopic embryotomy and painless abortion There is not much difference between hysteroscopic embryo extraction and induced abortion. There are several methods of induced abortion: painless abortion, hysteroscopic abortion, painless visual abortion, etc, These people flow operations are basically the same, They all know the position of the embryo by some means, To ensure the safety of the operation. It is usually operated under B-ultrasonic monitoring, We can see the position of the aspirator, uterus and embryo, In this way, people flow can be operated accurately, There is a certain risk in hysteroscopic embryo removal, Because hysteroscopy needs to dilate, Some patients have distended blood vessels in the uterine cavity, At this time, if you want to expand your palace, Some of the dilated media will enter the blood vessels, Cause embolism, It's a very dangerous situation, Therefore, hysteroscopy is not recommended, But for those who have a good uterine recovery, a small uterine cavity and little bleeding after abortion, It is suspected that there is something wrong with the uterine cavity, You can check the shape of the lower uterine cavity through hysteroscopy after abortion, For example, the uterine cavity recovers well, Use hysteroscopy to see if there is any embryo residue, See if there's any intrauterine adhesions before, It's OK to have any other pathological changes in the uterine cavity, However, we do not advocate the routine abortion under hysteroscopy, There are certain risks.