摘要
目的:探讨中重度宫腔粘连分离术后预防宫腔再粘连的临床效果。方法:回顾性分析2013年1月至2014年6月在武汉大学人民医院就诊的119例经宫腔镜检查确诊为中重度宫腔粘连并行TCRA术患者的临床资料。术后宫腔放置Foley球囊导尿管+宫内节育器为A组,宫腔放置Foley球囊导尿管+宫内节育器+可吸收医用膜为B组,术后均使用人工周期。比较患者的术后月经改善、宫腔及妊娠情况。结果:中度宫腔粘连患者中,B组的治愈率高于A组(57.7%vs 31.0%,P=0.047),宫腔再粘连率低于A组(15.4%vs 44.8%,P=0.018);A、B组的妊娠率分别为40%、60%,差异无统计学意义(P=0.37)。重度宫腔粘连患者中,B组的治愈率高于A组(43.8%vs 18.8%,P=0.031),宫腔再粘连率低于A组(15.6%vs 46.9%,P=0.007);A、B组的妊娠率分别为11.1%和33.3%,差异无统计学意义(P=0.257)。结论:中重度宫腔粘连分离术后联合使用Foley球囊导尿管+宫内节育器+可吸收医用膜治疗效果优于Foley球囊导尿管+宫内节育器组。
Objective：To investigate the clinical effect of preventing the recurrence of adhesion after hysteroscopic resection for moderate or severe intrauterine adhesion. Methods：Clinical data of 119 cases which diagnosed moderate or severe intrauterine adhesion were col-lected in the Renmin Hospital of Wuhan University from Jan. 2013 to June 2014. After trans-cervical resection of adhesions （ TCRA）,patients were divided into two groups：Group A in-stalled Foley balloon catheter and intrauterine device,Group B installed Foley balloon catheter, intrauterine device （IUD） and biomembrane. Artificial cycle was administered after surgery. The situation of intrauterine cavity,menstrual improvement,and pregnancy were observed after the operation. Results：Moderate intrauterine adhesions group：the cure rate of group B were sig-nificantly higher than group A （57. 7% vs 31. 0% ,P =0. 047）,the recurrence rate of group B were significantly lower than group A（44. 8% vs 15. 4% ,P =0. 018）. There were no significant differences in pregnant rate between group A（40% ） and B（60% ）（P = 0. 37）. Severe intrau-terine adhesions group：the cure rate of group B were significantly higher than that of group A（43. 8% vs 18. 8% ）,the recurrence rate of group B was significantly lower than that of group A（46. 9% vs 15. 6% ,P = 0. 018）. There were no significant differences in pregnant rate be-tween group A（11. 1% ） and B （33. 3% ）（P =0. 257）. Conclusion：The combination of Foley balloon catheter,intrauterine device and biomembrane after hysteroscopic resection for moderate or intensive IUA is a better method than the combination of Foley balloon catheter,intrauterine device.
出处
《现代妇产科进展》
CSCD
北大核心
2015年第8期583-585,共3页
Progress in Obstetrics and Gynecology
关键词
宫腔粘连
医用膜
宫内节育器
宫腔镜下宫腔粘连分离术
Intrauterine adhesion
Biomembrane
Intrauterine device
Trans-cervical resection of adhesions
作者简介
黄玥（1991-），女，武汉大学人民医院硕士研究生。主要研究方向：微创手术。
通讯作者 Email：zw6676@163．com
