【摘要】：目的:探討中重度宮腔粘連患者行宮腔鏡粘連分離術(shù)后兩種不同治療方法預(yù)防再粘連的效果。方法:選取2010年1月至2013年12月江蘇大學(xué)附屬宜興醫(yī)院婦產(chǎn)科治療的中重度宮腔粘連64例患者為研究對象,其中32例宮腔粘連分離術(shù)后給予傳統(tǒng)治療(對照組),即宮腔放置宮內(nèi)節(jié)育器+口服戊酸雌二醇,32例術(shù)后給予以宮腔鏡檢查為主的綜合治療(研究組),即每月重復(fù)宮腔鏡檢查+宮腔注入透明質(zhì)酸鈉+口服戊酸雌二醇。觀察兩組患者術(shù)后子宮內(nèi)膜厚度、月經(jīng)量改善、分離粘連次數(shù)及受孕情況。結(jié)果:研究組術(shù)后分離粘連次數(shù)≥2次的例數(shù)少于對照組,月經(jīng)改善率及妊娠率均高于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);研究組重度宮腔粘連患者術(shù)后分離粘連次數(shù)≥2次的例數(shù)少于對照組重度宮腔粘連患者,月經(jīng)改善率高于對照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:宮腔粘連分離術(shù)后以每月重復(fù)宮腔鏡檢查為主的綜合治療可以有效預(yù)防特別是重度宮腔粘連分離術(shù)后再粘連,縮短子宮內(nèi)膜恢復(fù)的時間,從而改善月經(jīng)情況。
[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，

本文編號：2518586