【摘要】：目的探討以宮腔鏡電切術(shù)為主的綜合治療方法對(duì)宮腔粘連(intrauterine adhesion,IUA)預(yù)后的影響。方法對(duì)2010年1月至2013年6月湖北省婦幼保健院因IUA行電切手術(shù)的218例患者臨床資料進(jìn)行回顧性分析。各程度IUA根據(jù)術(shù)后補(bǔ)充雌激素劑量和周期數(shù)不同分為3組,A組9 mg/d,服用3周期;B組6 mg/d,服用2周期;C組4 mg/d,服用1周期。觀察3周期后月經(jīng)恢復(fù)及宮腔情況并隨訪妊娠結(jié)局。結(jié)果宮腔恢復(fù)良好86.2%(188/218),月經(jīng)改善75.7%(165/218);隨訪8~46個(gè)月,受孕44.5%(97/218),活產(chǎn)48.5%(47/97)。Ⅱ度與Ⅲ度IUA的宮腔恢復(fù)率、月經(jīng)改善率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),但二者與Ⅳ度以上IUA的宮腔恢復(fù)率、月經(jīng)改善率差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。在相同程度IUA中A、B、C 3組比較,宮腔恢復(fù)率、月經(jīng)改善率差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論以宮腔鏡電切術(shù)為主的綜合治療方法對(duì)IUA治療效果良好;輕、中度IUA預(yù)后明顯好于重度IUA;適當(dāng)減少雌激素劑量,縮短治療周期對(duì)IUA預(yù)后無(wú)明顯影響。
[Abstract]:Objective to investigate the effect of hysteroscopic electroresection on the prognosis of intrauterine adhesion IUA. Methods from January 2010 to June 2013, the clinical data of 218 patients undergoing electrosurgical resection of IUA in Hubei Maternal and Child Health Hospital were retrospectively analyzed. According to the dose of estrogen supplementation and the number of cycles, IUA was divided into three groups: group A (9 mg / d), group B (3 cycles), group B (6 mg / d), group C (2 cycles), group C (4 mg / d), and group C (1 cycle). The recovery of menstruation and uterine cavity after 3 cycles were observed and pregnancy outcome was followed up. Results the recovery rate of uterine cavity was 86.2% (1888 / 218), menstrual improvement was 75.7% (165 / 218), follow-up for 8-46 months, conception 44.5% (97 / 218), live birth 48.5% (47 / 97). There was no significant difference in recovery rate between 鈪，

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