欣可聆预防人流术后宫腔粘连的临床研究

目的分析透明质酸钠凝胶在人工流产术后宫腔粘连中的预防应用及效果。方法选择在笔者所在医院行人工流产术患者500例，随机分为对照组和治疗组两组，各250例。对照组行常规人工流产术，实验组在人工流产术后宫腔内注医用透明质酸钠凝胶。两组术后均常规给予抗生素及益母草制剂服用。术后定期随访，观察两组术后有无粘连。结果治疗组术后宫腔粘连发生率明显低于对照组，差异有统计学意义（P〈0．05）。同一年龄段两组宫腔粘连发生情况比较，差异有统计学意义（P〈0．05）。结论人工流产术后宫腔内注入透明质酸钠凝胶具有减少宫腔粘连发生、不良反应少等优点，值得在临床推广应用。

Prevention of high concentration of medical sodium hyaluronate gel in the treatment of intrauterine adhesions after abortion

Objective To analyze of the application and effects of hyaluronic acid in the prevention ol intrauterine adhesions after abortion. Methods A total of 500 patients undergoing abortion technique of the author＇s hospital were randomly divided into two groups of control group and the treatment group, with 250 cases of each group. The control group was treated with conventional artificial abortion, and the experimental group was treated with intrauterine injection of sodium hyaluronate after abortion. Two groups were routinely given antibiotics and motherwort preparations after operation. Two groups were followed up regular after operation surgery and tested adhesions. Results Incidence of intrauterine adhesions after operation of treatment group were significantly lower than those in the control group, and the difference was statistieally significant（P 〈 0.05）. The difference of the two groups in the same age intrauterine adhesions was statistically signifieant（P 〈 0.05）.Compared with the control group, menstruation after operation of treatment group were better. The difference was statistically signifieant（P 〈 0.05 ）. Conclusion Sodium hyaluronate gel injected into the uterine cavity after operation abortion has the advantages of reducing intrauterine adhesions and fewer adverse reactions, and worthy of clinical application.