摘要
目的探讨反复宫腔镜检查预防宫腔粘连分离术后再次粘连的临床疗效。方法选取2015年1月~2016年12月我院收治的宫腔粘连患者100例,随机分为两组,对照组应用Foley球囊+常规周期性治疗,研究组在对照组基础上给予反复宫腔镜检查。观察并比较两组患者术后3个月的宫腔形态以及月经恢复情况;观察并比较两组患者术后3个月治疗效果。结果术后3个月,研究组术后宫腔形态中再次粘连情况明显优于对照组(P <0.05),同时研究组月经恢复情况明显优于对照组(P <0.05),研究组术后治疗有效率明显好于对照组(P <0.05)。结论在对宫腔粘连分离术后再次粘连的预防治疗过程当中,在常规治疗的基础上增加反复宫腔镜检查进行预防,可以有效预防宫腔粘连分离术后的宫腔再次粘连,可有效促进患者术后宫腔形态的正常恢复,也大大降低了术后并发症的发生率,促进子宫内膜的修复,进而促进月经的恢复,提高患者生活质量,在临床上应当进行进一步的推广与应用。
Objective To explore the clinical curative effect of repeated hysteroscopy in preventing re-adhesion after separation of intrauterine adhesions. Methods 100 patients with intrauterine adhesions who were admitted and treated in our hospital from January 2015 to December 2016 were selected and they were randomly divided into two groups.The control group was treated with Foley balloon combined with routine periodic therapy while the study group was given repeated hysteroscopy on the basis of the control group.The uterine cavity morphology and menstrual recovery of 3 months after operation were observed and compared between the two groups.The curative effect of 3 months after operation in the two groups were observed and compared. Results At 3 months after operation,the readhesion of the uterine cavity in the study group was significantly better than that of the control group(P < 0.05).At the same time, the recovery of menstruation in the study group was significantly better than that of the control group(P < 0.05).The effective rate of p treatment after operation in the study group was significantly better than that in the control group(P < 0.05). Conclusion In the process of prevention and treatment of re-adhesion after separation of intrauterine adhesions,repeated hysteroscopy on basis of routine treatment can effectively prevent re-adhesion after separation of intrauterine adhesions.It can effectively promote the normal recovery of the postoperative uterine cavity shape,greatly reduce the incidence of postoperative complications and promote endometrial repair to promote menstrual recovery and improve the quality of life of patients,which should be further promotion and application in clinical practice.
作者
何惠娴
HE Huixian(Huizhou Central People' Hospital,Huizhou 516000,China)
出处
《中国医药科学》
2019年第10期106-108,共3页
China Medicine And Pharmacy
关键词
反复宫腔镜检查
宫腔粘连分离术
再次粘连
预防
Repeated hysteroscopy
Intrauterine adhesions separation
Re-adhesion
Prevention
