两种方法预防宫腔粘连分离术后再粘连疗效分析

发布时间：2019-07-24 10:45

【摘要】：目的:探讨中重度宫腔粘连患者行宫腔镜粘连分离术后两种不同治疗方法预防再粘连的效果。方法:选取2010年1月至2013年12月江苏大学附属宜兴医院妇产科治疗的中重度宫腔粘连64例患者为研究对象,其中32例宫腔粘连分离术后给予传统治疗(对照组),即宫腔放置宫内节育器+口服戊酸雌二醇,32例术后给予以宫腔镜检查为主的综合治疗(研究组),即每月重复宫腔镜检查+宫腔注入透明质酸钠+口服戊酸雌二醇。观察两组患者术后子宫内膜厚度、月经量改善、分离粘连次数及受孕情况。结果:研究组术后分离粘连次数≥2次的例数少于对照组,月经改善率及妊娠率均高于对照组,差异有统计学意义(P0.05);研究组重度宫腔粘连患者术后分离粘连次数≥2次的例数少于对照组重度宫腔粘连患者,月经改善率高于对照组,差异均有统计学意义(P0.05)。结论:宫腔粘连分离术后以每月重复宫腔镜检查为主的综合治疗可以有效预防特别是重度宫腔粘连分离术后再粘连,缩短子宫内膜恢复的时间,从而改善月经情况。
[Abstract]:Objective: to investigate the effect of two different treatments on preventing readhesion in patients with moderate and severe uterine adhesions after hysteroscopic adhesion separation. Methods: from January 2010 to December 2013, 64 patients with moderate and severe uterine adhesions were treated with moderate and severe uterine adhesions in Yixing Hospital affiliated to Jiangsu University. Among them, 32 patients were treated with traditional treatment after uterine cavity adhesion separation (control group), 32 patients were treated with hysteroscopy (study group). That is, monthly repeated hysteroscopy injection of sodium hyaluronate into the uterine cavity oral Estradiol valerate. The thickness of uterus, the improvement of menstrual volume, the number of detachable adhesions and conception were observed in the two groups. Results: the number of separated adhesions 鈮，

本文编号：2518586