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Cloud trillion) · B-type ultrasound exchange of experience to guide the clinical observation of postpartum curettage Tang Huiqin [Document code] B [Article ID] 1681-2824I2ID05) 06-11496 an adjacent B-type ultrasound guidance technique is the traditional post-natal clean government an important breakthrough technique of clean government, it has a trauma, post-natal fewer complications. In May 2OO3 112 hospital maternity clinics carried out in B-guided surgery 85 cases of postpartum clean government, and achieved good results. Are as follows. 1 Materials and Methods 1.1 General Information is 85 cases were hospital maternity clinics in 2003 irregular vaginal bleeding postpartum patients, aged 20-44 years, mean 29.3 years of age. Which the normal postpartum in 28 cases, the conventional technique of clean government 1 in 13 cases,ugg boots outlet, 2 in 1 case, no clean government in 14 cases; pregnant 4 to 6 months postpartum induction of 45 cases, and are in post-natal day the conventional clean government, clean government after 15 days irregular vaginal bleeding over there; cesarean section in 12 cases,ugg greece, none of the conventional technique of clean government. is group of patients post-partum bleeding time 3570 days, B-probe tips are intrauterine residue. 1.2 U.S. Department of instruments instruments IDGIQTM a 4O0-type real-time ultrasonography, convex probe, frequency of 3.5MHz, gray 64. 1.3 Method patient supine, moderate bladder filling, the probe in the pubic bone upward vertical, horizontal, oblique multi-slice scanning. Measurement of uterine size, indicating the distribution of intrauterine residue, look straight down at the B-suction curettage. After measurement of uterine size, observation of intrauterine situation. After 10 days and 1 month after the B-line review. 2 Results e group of patients with B-clean government under direct vision, none of the womb wearing larvae L and postoperative infection. Operation time 1-4min, the average 13. 10 days after surgery and a month later, the uterus forms a clear, uterine line center. Placenta after cesarean section in this group of patients remaining in the B-probe, we found that the majority of residual tissue calcification was like a strong echo, and tight adhesion palace wall, under the guidance of the B-dilatation and curettage, are blowing all at once clean. 1O days of vaginal bleeding stopped after l0 cases, after l5 days of vaginal bleeding stopped in 2 cases. e group, normal post-natal and post-abortion patients in the B-down positioning technique of clean government, are all at once sucked shave, after 10 days of vaginal bleeding to stop. One patient to normal postpartum vaginal bleeding 43 days, B-authors found a single unit: 421 513 Changning, Hunan Nonferrous Metals Corporation Shuikoushan hospital staff vaginal double uterus,abercrombie et fitch, the uterus showed anterior, right normal uterine size, bureaucratic lines clear center; left uterus is slightly larger, scattered within the official distribution, size, ranging from irregular hyperechoic light group, 2 times the conventional clean government, Curettage materials were no residues in the organization, under direct vision in a B- suction shave, after 7 days of bleeding termination. 3 to discuss the traditional technique ... clean government,moncler jakker, because they can not look directly at the intrauterine situation, depends on the operator handle, surgery Curettage untargeted parts, a little mistake that could cause serious injury. Cesarean uterine scar, involution is poor, traditional clean government prone to perforation; normal post-natal and post-abortion uterine large and soft, clean government tradition of clean government prone to failure and uterine perforation; congenital uterine malformations in patients with conventional suction drain easily clean government. e B-can clearly show the intrauterine conditions [23, indicating suction scraper acts, and to observe the dynamic changes in intrauterine conditions, targeted surgery,moncler jakke dame, facial trauma, surgery time, reduce the amount of bleeding, which can reduce concurrency the occurrence of disease, access to more satisfactory results, especially in patients with congenital malformations of the uterus, under the direction of the B-clean government more secure positioning and accurate. Traditional curettage, the operator can only roughly estimate the size and contraction of the uterus, B-under all-round observation of uterine shape, size, and visual changes in the uterus before and after surgery, which can evaluate the degree of uterine contraction, contraction of the uterus with poor timely detection and timely treatment. Compared with the traditional technique of clean government, B-surgery patients designated to be under the clean government to some extent filling the bladder. On the degree of control of bladder filling, I realized: forward position and median uterus, bladder filling only slightly, but the uterus and uterine flexion deformity after dumping patients to be moderate bladder filling, to show the complete form for the degree of uterine , in the B-guided, only one Curettage completely, otherwise it will result in clean government failure. In summary, clean government than traditional surgery, B-natal clean government under the guidance of safe, accurate, reliable, and has some clinical value.