宫腔镜下诊治68例宫腔粘连临床疗效分析

目的探讨与分析宫腔镜下诊治68例宫腔粘连临床疗效。方法选自2009年5月至2011年4月来我院接受宫腔镜手术的宫腔粘连患者68例，对其临床资料进行回顾性分析。结果观察发现，患者在妊娠期接受的手术操作越频繁，就越有可能出现严重宫腔粘连（P〈0．05）。89．71％（61／68）的宫腔粘连患者的临床症状主要表现为月经量减少、紊乱或闭经等月经异常现象。手术3个月后采用宫腔镜对所有患者进行随访，患者恢复的总有效率为83．82％（57／68），术前患者宫腔粘连的程度越轻，术后恢复效果越好（P〈0．05），术前患者的宫腔粘连程度较为严重，术后再次发病的概率为26．32％（5／19）。结论宫腔镜下诊治宫腔粘连效果良好、安全可靠。

Clinical curatioe effect analysis of treating in trauterine adhesion with hysteroscopy in 68 cases

Objective To explore the significance of hysteroscopic diagnosis and treatment of intrauterine adhesion. Methods From May 2009 to April 2011, retrospective study was employed to analyze the clinical data of 68 patients with intrauterine adhesion which underwent hysteroscopic transcervical resection of adhesion during the period. Results More intrauterine surgical procedures in a gravid uterine cavity led to a greater possibility of severe intrauterine adhesions （ P 〈 0.05 ）. Clinical manifestation of 89. 71% of patients with intrauterine adhesions was abnormal menstruation, including hypomenorrhea, amenorrhea and menstrual disorder. 3 month after operation, hysteroscopy was used to follow up the recovery of all patients with intrauterine adhesion and it revealed that the overall effective rate was 83.82%. It was found that patients with milder degree of intrauterine adhesion before operation recovered with better therapeutic efficacy （P 〈 0. 05 ）. The probability of postoperative recurrence of severe intrauterine adhesion was 26. 32% for patients with severe degree of intrauterine adhesion before operation. Conclusion Hysteroscopy is an effective method for the treatment of intrauterine adhesions.