以微型剪分解粘连为主综合治疗宫腔粘连性不孕

目的:探讨宫腔镜下以微型剪分解粘连为主综合治疗宫腔粘连性不孕的方法和效果?方法:回顾性分析122例宫腔粘连性不孕病例的治疗效果,所有病例均在超声监护下?宫腔镜直视下用微型剪分解粘连,术后放置宫内绝育器,并给予戊酸雌二醇治疗3个月,3个月后随访月经改变,再次行宫腔镜检查了解宫腔形态,取出绝育环,仍然粘连病例给予再次分解手术?结果:患者月经量明显增加,月经总正常率68.0%,109例患者宫腔恢复正常,有效率89.3%,10例轻度粘连?3例中度粘连需要再次手术,术后1年内妊娠率52.8%?结论:超声监护下?宫腔镜直视下以微型剪分解粘连联合置环术配合激素周期治疗可以获得良好的治疗效果?

Comprehensive therapy of intrauterine adhesion in infertility patients mainly using hysteroscopic adhesiolysis by mini-scissors:a retrospective study

Objective:To analyze the efficacy of comprehensive therapy mainly using hysteroscopic adhesiolysis by mini-scissors. Methods:In a retrospective study,122 patients were received hysteroscopic adhesiolysis,which was carried out by mini-scissors,and monitored by ultrasonography. After operation,they received intrauterine devices(IUD) placement,with a following cycling hormonal therapy. After 3 months therapy uterine cavity and menstrual flow were evaluated. Results:Menstrual flow was normal in 68.0% of patients and uterine cavity returned to be normal in 109 patients,accounting for 89.3%. Re-operation was needed in 13 patients because of mild or moderate adhesion. Pregnant rate was 52.8% during the first year. Conclusion:The comprehensive therapy for intrauterine adhesion has good effect and deserves to be recommended in clinic.