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重度宫腔粘连分离术后预防再粘连方法的比较
引用本文:申爱荣,刘琼丽.重度宫腔粘连分离术后预防再粘连方法的比较[J].中国妇产科临床杂志,2010,11(1):25-27.
作者姓名:申爱荣  刘琼丽
作者单位:郑州大学第三附属医院妇科内镜诊治中心,450052
基金项目:河南省卫生厅科技攻关项目200804032资助
摘    要:目的评估宫腔镜宫腔粘连分离术后预防宫腔再粘连方法的疗效。方法回顾性分析2004年11月至2007年5月间郑州大学第三附属医院妇科内镜诊治中心122例宫腔镜下宫腔粘连切除术患者的临床资料。术后宫腔内放置节育环(IUD)58例为IUD组,宫腔注入几丁糖并IUD64例为IUD+几丁糖组;根据病程长短将IUD组分为Ia组(病程≤1年)和Ib组(病程1年),IUD+几丁糖组分为IIa组(病程≤1年)和IIb组(病程1年)。观察术后宫腔恢复情况、月经改善及妊娠情况。结果IUD和IUD+几丁糖组术后宫腔再粘连率分别为41.4%和23.4%(P0.05),其中Ia组(19.0%)明显低于Ib组(54.1%)(P0.05);IUD组月经改善率及妊娠率分别为74.1%和29.3%,IUD+几丁糖组分别为92.2%和48.4%,IUD组明显低于IUD+几丁糖组(P0.05),其中Ia组(90.0%、47.6%)明显高于Ib组(64.9%、18.9%)(P0.05)。IIa组术后宫腔再粘连率及妊娠率分别为8.7%和78.3%,IIb组分别为31.7%和31.7%,两组比较,差异均有统计学意义(P0.05);IIa组(100%)月经改善率与IIb组(87.8%)比较,差异无统计学意义(P0.05)。结论重度宫腔粘连切除术后宫腔内放置节育环加几丁糖可有效预防再粘连,提高月经改善率及妊娠率。

关 键 词:宫腔镜  宫腔粘连  宫腔粘连分离术  再粘连

Comparative study on methods of preventing adhesion recurrence after transcervical resection of intrauterine adhesions
SHEN Airong,LIU Qiongli.Comparative study on methods of preventing adhesion recurrence after transcervical resection of intrauterine adhesions[J].Chinese Journal of Clinical Obstetrics and Gynecology,2010,11(1):25-27.
Authors:SHEN Airong  LIU Qiongli
Institution:Department of Obstetrics and Gynecology;the Third Affiliated Hospital;Zhengzhou University;Henan 450052;China
Abstract:Objective To appraise the effect of the two methods preventing adhesion recurrence after transcervical resection of intrauterine adhesions.Methods Clinical data of 122 patients with severe intrauterine adhesions who underwent transcervical resection during November 2004 to May 2007 in gynecologic endoscopy center of the third affiliated hospital of Zheng Zhou University were studied retrospectively. Patients were divided into two groups according to the different therapy methods. 58 patients who were placed...
Keywords:hysteroscopy  severe intrauterine adhesions  synechiolysis  adhesion recurrence  
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