利用經子宮頸切除鏡作子宮內膜剝落,切除肌肉瘤和中隔子宮之隔膜,在婦科手術乃一相當新的方法。通常這種方法有許多優點,包括較少術後之疼痛,避免將來懷孕子宮之破裂,和沒有疤痕。我們今報告一病例,經子宮頸來切除一子宮之中隔。不幸的,術後發生出血,雖以導尿管來壓逼子宮腔,仍須要大量的輸血。文章內會詳細討論處理方法。
The use of the transcervical resectoscope for endometrial ablation, resection of myoma or uterine septum is a relatively new technique in gynecologic surgery. Generally, many advantages have been proven with this procedure including less postoperative pain, lower risk of uterine rupture in coming pregnancy, and no scar formation. We present a patient who received transcervical resection for a septate uterus. Unfortunately, postoperative hemorrhage was found. The patient received massive blood transfusions and intrauterine foley catheter tamponade to control the uterine bleeding. The detailed management will be discussed in this article.