摘要
目的探讨宫腔镜下Foley球囊联合圆形节育环在中重度宫腔粘连(IUA)患者中的应用效果。方法选取2021年2月至2022年2月福建省妇幼保健院收治的90例中重度IUA患者作为研究对象,采用简单随机分组将其分为观察组、球囊组和节育环组,每组30例。观察组采用Foley球囊联合圆形节育环进行治疗,球囊组单独使用Foley球囊治疗,节育环组单独使用圆形节育环治疗。比较三组患者的子宫内膜厚度、宫腔形态和月经恢复情况。结果术后1、3个月,观察组患者的月经恢复总有效率高于球囊组和节育环组,差异有统计学意义(P<0.017);球囊组与节育环组的月经恢复总有效率比较,差异无统计学意义(P>0.017)。观察组患者术后1个月的宫腔形态恢复总有效率高于球囊组和节育环组,差异有统计学意义(P<0.017),而球囊组和节育环组比较,差异无统计学意义(P>0.017)。观察组术后3个月子宫内膜厚度高于球囊组和节育环组,差异有统计学意义(P<0.05)。结论宫腔镜下宫腔粘连分离术后采用Foley球囊联合圆形节育环治疗中重度IUA,可明显改善患者月经量及粘连情况,值得临床推广应用。
Objective To investigate the effect of hysteroscopic Foley balloon combined with circular IUD in patients with moderate to severe intrauterine adhesions(IUA).Methods A total of 90 patients with moderate to severe IUA admitted to Fujian Maternal and Child Health Hospital from February 2021 to February 2022 were selected as the research objects.They were divided into observation group,balloon group and birth control ring group by simple random group,with 30 cases in each group.The observation group was treated with Foley balloon and contraceptive ring,balloon group was treated with Foley balloon alone,and contraceptive ring group was treated with contraceptive ring alone.The endometrial thickness,uterine cavity shape and menstrual recovery were compared among the three groups.Results At 1 and 3 months after operation,the total effective rate of menstrual recovery in the observation group was higher than that in the balloon group and the IUD group,and the difference was statistically significant(P<0.017).There was no significant difference in the total effective rate of menstrual recovery between the balloon group and the IUD group(P>0.017).The total effective rate of uterine morphology recovery in the observation group was higher than that in the balloon group and the IUD group at 1 month after operation,and the difference was statistically significant(P<0.017),while there was no significant difference between the balloon group and the IUD group(P>0.017).The endometrial thickness of the observation group was higher than that of the balloon group and the IUD group at 3 months after operation,and the difference was statistically significant(P<0.05).Conclusion Foley balloon combined with circular IUD in the treatment of moderate to severe IUA after hysteroscopic separation of intrauterine adhesions can significantly improve the menstrual volume and adhesion of patients,which is worthy of clinical application.
作者
齐元杰
陈志伟
陈丽
谢丽
李华
QI Yuanjie;CHEN Zhiwei;CHEN Li;XIE Li;LI Hua(Department of Gynecology,Fujian Provincial Maternal and Child Health Hospital,Fujian Province,Fuzhou,350001,China)
出处
《中国当代医药》
CAS
2022年第33期84-87,共4页
China Modern Medicine
基金
福建省科技计划项目(2020Y9147)。
关键词
宫腔粘连
宫腔镜
Foley球囊
宫腔粘连分离术
圆形节育环
Intrauterine adhesion
Hysteroscopy
Foley balloon
Transcervical resection of adhesions
Circular contraceptive ring
