摘要
目的探讨球囊对宫腔镜下重度宫腔黏连分离术(TCRA)后预防再次宫腔黏连的临床效果。方法选择宫腔镜检查证实有Ⅲ度及以上宫腔黏连并成功分离黏连者40例,按照就诊顺序随机置环+透明质酸钠、球囊+置环+透明质酸钠。随访3个月,再次宫腔镜检查2组的治疗效果,进行分析比较。结果Ⅲ度及以上黏连的患者,球囊+置环+透明质酸钠组的总有效率高于置环+透明质酸钠,差异有统计学意义(P<0.05)。结论宫腔镜分离宫腔黏连后,球囊+置环+透明质酸钠能有效预防宫腔再次黏连。
Objective To study balloon with set ring and sodium hyaluronate to prevent adhesion recurrence after hysteroscopic management of transcervical resection of adhesions （TCRA）. Methods 40 patients were randomly divided into two groups to take the treatment ＂inset ring ＋ sodium hyaluronate （A group）＂ and ＂balloon ＋ set ring ＋ sodium hyaluronate （B group）＂ ,respectively. After the operation,the treatment effect of the patients was observed. Results The recurrence rate of the adhesion which was 95.5% in B group was much higher than that in A group which was 61.1% ,and there was a significant differences between two groups in degree a- bove 11I of the patients （P 〈 0.05）. Conclusion ＂ Balloon ＋ set ring ＋ sodium hyaluronate＂ can obviously decrease the recurrent ad- hesion after transcervical resection of III above intrauterine adhesions.
出处
《宁夏医学杂志》
CAS
2014年第10期905-906,共2页
Ningxia Medical Journal
关键词
宫腔黏连
宫腔镜手术
分离术
雌激素
Intrauterine adhesions
Hysteroscopic surgery
Dissection operation
Estrogen
