经球囊扩张术联合屈螺酮炔雌醇片治疗人工流产术后宫腔轻中度粘连的临床疗效

目的 探究经球囊扩张术联合屈螺酮炔雌醇片治疗人工流产术后宫腔轻中度粘连的临床效果.方法 前瞻性分析2017年9月至2020年1月新疆医科大学第二附属医院收治的60例人工流产手术后并发轻中度宫腔粘连患者的临床资料,按照随机数字表法分为对照组(n=30)和观察组(n=30).对照组患者单纯给予屈螺酮炔雌醇片治疗,观察组患者...

Clinical efficacy of balloon dilatation combined with pirospirone ethinylestradiol tablets in the treatment of mild and moderate intrauterine adhesions after abortion

Objective To explore the therapeutic effect of balloon dilatation combined with pirospirone ethinylestradol tablets in the treatment of mild and moderate intrauterine adhesions after abortion.Methods A prospective analysis of the clinical data of 60 patients with mild to moderate intrauterine adhesions after artificial abortion,who were admitted to the Second Affiliated Hospital of Xinjiang Medical University from September 2017 to January 2020,were divided into control groups according to the randomization method(n=30)and the observation group(n=30).The control group was treated with drospirenone and ethinyl estradiol tablets alone,and the observation group was treated with balloon dilatation based on the control group.To compare the therapeutic effects of postoperative intrauterine adhesions,the degree of intrauterine adhesions,and endometrial blood flow indexes[including vascularization index(VI),blood flow index(FI),vascular blood flow index(VFI)],Endometrial thickness.Results The total effective rate(90.00%)of the observation group was significantly higher than that of the control group(73.33%),and the difference was significant(P<0.05).The AFS score(0.65±0.06)of the observation group after treatment was significantly lower than that of the control group(1.72±0.09),and the difference was significant(P<0.05).The endometrial thickness,VI,FI,and VFI of the observation group after treatment were(6.12±0.28)mm,3.83±0.36,27.19±1.08,2.88±0.16,respectively,which were higher than those of the control group(5.13±0.25)mm,2.92±0.35,21.38±1.05,1.72±0.14,the differences were all significant(P<0.05).Conclusion Compared with the treatment with drospirenone and ethinyl estradiol tablets alone,balloon dilatation combined with drospirenone and ethinyl estradiol tablets for the treatment of mild to moderate intrauterine adhesions after artificial abortion can achieve a more satisfactory therapeutic effect,which is helpful To reduce the degree of intrauterine adhesions,improve the blood circulation of the endometrium,and facilitate the development of the endometrium.