摘要
目的:比较宫腔粘连术后留置三种宫内防治装置(宫内节育器、球囊导尿管、Cook水囊)的疗效。方法:回顾性分析2013年3月-2016年11月本院接收的128例宫腔粘连患者作为研究对象,均予宫腔镜下宫腔粘连分离术(TCRA)与人工周期治疗,其中术后留置宫内节育器45例(A组),术后留置球囊导尿管+宫内节育器53例(B组),术后留置Cook水囊30例(C组)。比较三组患者术后3个月的月经恢复情况及宫腔镜检查情况。结果:三组患者术后3个月的月经量周期均长于治疗前,卫生巾用量均多于治疗前,周期性腹痛均少于治疗前,差异均有统计学意义(P<0.05),且B组和C组患者的月经改善情况均明显优于A组(P<0.05)。三组患者术后3个月的宫腔粘连复发率与妊娠率比较,差异均无统计学意义(P>0.05)。B组和C组患者术后3个月的总有效率均明显高于A组,差异均有统计学意义(P<0.05)。结论:宫腔粘连分离术后留置球囊导尿管+宫内节育器与留置Cook水囊均可有效减轻再次发生粘连的程度,能够很好地预防宫腔粘连患者术后再粘连,优于留置宫内节育器的综合治疗。
Objective ： To compare the efficacy of three intrauterine devices （ IUD, balloon catheter and Cool~ water sac ） after intrauterine adhesions.Method： A retrospective analysis from March 2013 to November 2016 in our hospital received intrauterine adhesions in 128 patients as the research objects, they were treated with transcervical resection of adhesions （ TCRA ） and artificial cycle therapy, including postoperative indwelling IUD in 45 cases （ group A ）, balloon catheter＋IUD in 53 cases of postoperative indwelling （ group B ）, Cook indwelling water sac after operation in 30 cases （ group C ） .The menstrual recovery and hysteroscopy of the three groups after surgery for three months were compared.Result： 3 months after operation, the menstrual cycle of three groups were longer than those before treatment, the amount of sanitary napkins were more than those before treatment, abdominal pain were less than those before treatment, the differences were statistically significant （ P〈0.05 ）, and the menstrual improvement group B and group C were significantly better than that in group A （ P〈0.05 ） . 3 months after operation, there were no significant differences between the three groups in the recurrence rate of intrauterine adhesions and pregnancy rate （ P〉0.05 ） .3 months after operation, the total effective rate of group B and group C were significantly higher than that of group A, the differences were statistically significant （ P〈0.05 ） . Conclusion： After the separation of intrauterine adhesions, the indwelling balloon catheter ＋ intrauterine device and indwelling Cook water sac can effectively reduce the degree of adhesion, it is better to prevent postoperative adhesion of patients with intrauterine adhesions, which is superior to the comprehensive treatment of intrauterine device.
出处
《中国医学创新》
CAS
2017年第15期104-107,共4页
Medical Innovation of China
关键词
宫腔粘连
宫内节育器
球囊导尿管
Cook水囊
Intrauterine adhesions
Intrauterine device
Foley catheter
Cook water sac
