宫腔镜诊治54例宫腔粘连治疗分析

目的：探讨宫腔镜对宫腔粘连的诊治作用。方法：回顾性分析2009年12月-2011年4月54例因宫腔粘连行宫腔镜宫腔粘连电切术患者的临床资料。结果：妊娠期宫腔手术操作次数越多，发生严重宫腔粘连的可能性越大（P〈0．05）。90％（43/54）宫腔粘连患者临床表现为月经异常，如月经量减少、闭经和月经紊乱等。术后第3个月应用宫腔镜随访54例宫腔粘连患者宫腔恢复情况，总有效率为81．48％（44/54），术前宫腔粘连程度越轻，治疗效果越好（P〈0．05），术前宫腔粘连程度严重的患者，术后再次发生严重宫腔粘连的概率为26．67％（8／30）。结论：宫腔镜是诊治宫腔粘连的有效方法。

Diagnosis and Treatment by Hysteroscopy for 54 Cases of Intrauterine Adhesions

Objective： To investigate the clinical value of hysteroscopy in the diagnosis and treatment of in- trauterine adhesions. Methods： Intrauterine adhesion was separated with electrotome under hysteroscope in 54 patients with intrauterine adhesion from December 2009 to April 2011. The data of all cases were ana- lyzed retrospectively. Results： The more the operative procedures performed on uterine cavity during gesta- tional period, the more the possibilities of intrauterine adhesion happened （P〈0.05）. Clinical manifestation of 90% of the intrauterine adhesion patients usually included abnormal menstruation such as hypomenorrhea, a- menorrhea, menstrual disorder and so on. All cases were followed up by hysteroscope at the third months after operation and the total effective rate was 81.48%. Moreover, the therapeutic efficacy was better if the degree of intrauterine adhesion was lighter preoperatively （P〈0.05）. Inversely, the incidence rate of severe in- trauterine adhesion happed again was 26.67% postoperatively if the degree of intrauterine adhesion was se- vere preoperatively. Conclusion： Hysteroscope is an effective method for diagnosis and treatment of intrauter- ine adhesions.