Abstract：Objective To study the clinical value of hysteroscopy combined with ultrasound in the diagnosis and treatment of intractable intrauterine residue. Methods From Jan wary 2011 to May 2014 82 patients with refractory intrauterine residue (duration of 2 months above, curettage repeatedly), were randomly divided into three groups. The hysteroscopy combined with ultrasound group (joint group) consisted of 32 patients. 28 patients in the same period with curettage under ultrasound monitoring were assigned to ultrasound group, Hysteroscopy assisted 22 patients served as hysteroscopy group. Operation time, intraoperative blood loss, postoperative vaginal bleeding time, and menstrual recovery were compared between the three groups. Results Operation time in joint group [(16.2±3.5) min] was shorter than that in ultrasound group [(26.6±7.8)min] or hysteroscopy group [(26.1±5.6)min], the differences were statistically significant(P＜0.05). Intraoperative blood loss in joint group [(22.1±8.5)ml] was less than that in ultrasound group [(48.8±20.1)ml] or hysteroscopy group [(38.3±14.7)ml], the differences were statistically significant (P<0.05). Times of menstruation recovery and vaginal bleeding after surgery were not different between the three groups. 1 case in ultrasound group developed intrauterine adhesions. Conclusions In the diagnosis and treatment of refractory intrauterine residue, hysteroscopy combined with ultrasound can make clear intrauterine residue and judge the ease or difficulty of operation, the intrauterine residue can be thoroughly removed, operating time is short with less bleeding, and severe complications can be avoided.
2015, Vol. 26 
