水囊联合不同剂量雌激素用于宫腔粘连辅助治疗的疗效观察

发布时间：2018-01-22 02:14

本文关键词： 戊酸雌二醇宫腔粘连宫腔镜下宫腔粘连分离术 Foley尿管水囊　出处：《解放军医学院学报》2014年07期 　论文类型：期刊论文

【摘要】：目的评价Foley尿管水囊联合不同剂量雌激素(戊酸雌二醇,estradiol valerate,E2V)用于宫腔粘连的辅助治疗效果。方法选取30例宫腔镜下行宫腔粘连分离术和宫腔留置Foley尿管水囊的患者,其中15例给予雌激素4 mg/d,15例给予雌激素12 mg/d共1个月。所有病例均于术后1个月、3个月进行随访,观察月经恢复情况、内膜厚度增加情况及宫腔形态恢复情况。结果两组治疗的有效率分别为60%(9/15)和66.7%(10/15),差异无统计学意义(P0.05);两组妊娠率分别为20%(3/15)和46.7%(7/15),总体妊娠率为33.3%(10/30),差异无统计学意义(P0.05)。结论宫腔镜下宫腔粘连分离术后辅以Foley尿管水囊联合两种剂量雌激素治疗效果无统计学差异。
[Abstract]:Objective to evaluate Foley urinary catheter water capsule combined with estradiol valerate in different doses of estradiol valerate. Methods 30 cases of hysteroscopic hysteroscopy were treated with hysteroscopy for the treatment of intrauterine adhesion and indwelling Foley urethral sac. 15 cases were given estrogen 4 mg / d for 12 mg/d for 1 month. All cases were followed up at 1 month and 3 months to observe the recovery of menstruation. Results the effective rates of the two groups were 60 / 9 / 15) and 66.7 / 10 / 15 / 15, respectively. There was no significant difference between the two groups (P 0.05). The pregnancy rates in the two groups were 20 / 15 and 46.7 / 15, respectively. The overall pregnancy rate was 33.3 / 10 / 30). Conclusion there is no significant difference between the two groups in the treatment of hysteroscopic hysteroscopic hysteroscopy combined with Foley urinary catheter water capsule combined with two doses of estrogen.
【作者单位】：解放军医学院;海军总医院妇产科;
【基金】：国家“十二五”科技支撑计划项目(2012BAI32B05)~~
【分类号】：R713
【正文快照】： 宫腔粘连(intrauterine adhesions,IUA)是各种原因引起的内膜损伤后宫腔及颈管粘连或纤维化的状态。临床表现为月经异常(经量减少或闭经、周期性下腹痛)、不孕及复发性流产等[1]。近年来,随着宫腔镜的发展和应用,宫腔镜下诊断已成为宫腔粘连诊断的首选方法,宫腔镜下宫腔粘连分

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