宫腔镜下微型剪刀分离复发宫腔粘连的临床疗效观察

发布时间：2019-06-11 20:03

【摘要】：目的:分析评价宫腔镜下微型剪刀分离复发宫腔粘连的临床疗效。方法:选取宫腔镜电切术后1月复查发现再发宫腔粘连的患者65例,其中40例轻度粘连、25例重度粘连。患者均在门诊行宫腔镜下微型剪刀分离,术毕宫腔注入透明质酸钠凝胶,继续口服戊酸雌二醇周期治疗。术后2~3月复查宫腔镜同时再次分离粘连,进行疗效评价。术后3月期间观察子宫内膜厚度。结果:术后3月,轻度和重度宫腔粘连患者的总有效率分别为92.5%和84%。轻度粘连组术后第2月与第3月的有效率比较,差异有统计学意义(P0.05);中度粘连组比较,差异亦有统计学意义(P0.05)。术后3月,两组患者的子宫内膜厚度均增加,两组比较差异有统计学意义(P0.05);且每组的组间不同时间段内膜厚度比较,差异也有统计学意义(P0.05)。结论:重复宫腔镜下微型剪刀分离宫腔复发粘连可作为宫腔镜电切分离粘连术后的辅助手段,提高治疗效果。
[Abstract]:Objective: to analyze and evaluate the clinical effect of microscissors in the separation of recurrent uterine adhesions under hysteroscopy. Methods: 65 patients with recurrent uterine adhesion were selected one month after hysteroscopic resection, including 40 patients with mild adhesion and 25 patients with severe adhesion. All the patients were separated by microscissors under hysteroscopy, and sodium hyaluronate gel was injected into the uterine cavity at the end of the operation, and the patients were treated with Estradiol valerate cycle. Hysteroscopy was reexamined from 2 to 3 months after operation, and the adhesion was separated again, and the curative effect was evaluated. The intimal thickness was observed 3 months after operation. Results: 3 months after operation, the total effective rates of mild and severe uterine adhesions were 92.5% and 84%, respectively. There was significant difference in the effective rate between the two months and the third month after operation in the mild adhesion group (P 0.05), and the difference was also statistically significant in the moderate adhesion group (P 0.05). 3 months after operation, the intimal thickness of the two groups increased, the difference between the two groups was statistically significant (P 0.05), and the intimal thickness of each group was also significantly different in different time periods (P 0.05). Conclusion: repeated hysteroscopy with mini scissors can be used as an auxiliary method after hysteroscopic electroresection and adhesion, and the therapeutic effect can be improved.
【作者单位】：重庆市万州区人民医院妇产科;昆明医科大学;
【分类号】：R713

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