摘要
目的探讨宫腔镜下宫腔粘连分离术后放置三腔球囊导管冲洗引流对宫腔再粘连的预防效果。方法采用回顾性分析法,选取在新疆医科大学第一附属医院接受治疗的168例重度宫腔粘连患者行宫腔镜下宫腔粘连分离术的患者作为研究对象,根据术后引流方式的不同分为两组:68例术后放置二腔球囊导管引流(对照组),100例术后放置三腔球囊导管冲洗引流(观察组)。对比两组术后的子宫动脉血流频谱指标、宫腔引流量、子宫内膜厚度、宫腔形态、宫腔再粘连发生率等。结果两组术后的子宫内膜厚度均比术前明显增加,并且观察组术后3个月的子宫内膜厚度值均显著高于对照组(P<0.05)。两组患者术后的月经情况评分均较术前增加,并且观察组术后3个月的月经情况评分均高于对照组(P<0.05)。与术前相比,两组术后的子宫动脉RI、PI值均显著降低,并且观察组术后3个月的RI及PI值均显著低于对照组(P<0.05)。观察组的治疗总有效率显著高于对照组(97.62%vs 82.14%,P<0.05)。两组术后不良反应发生率比较,差异无统计学意义(P>0.05)。结论宫腔镜下宫腔粘连分离术后放置三腔球囊导管冲洗引流可促进子宫内膜修复,改善子宫动脉血流,降低术后宫腔再粘连风险,改善月经情况。
Objective To explore the preventive effect of placing three lumen balloon catheter for irrigation and drainage after hysteroscopic separation of uterine cavity adhesion.Methods 168 patients who underwent hysteroscopic separation of intrauterine adhesions in our hospital were selected by retrospective analysis.The patients were divided into two groups according to the different drainage methods:68 patients were placed with two chamber balloon catheter for drainage(control group),and 100 patients were placed with three chamber balloon catheter for fushing and drainage(observation group).The uterine artery blood flow spectrum index,uterine cavity drainage volume,endometrial thickness,uterine cavity morphology,and the incidence of uterine cavity re adhesion were compared between the two groups.Results The endometrial thickness of the two groups after operation were significantly increased compared with those before the operation,and the endometrial thickness of the observation group 3 months after operation was significantly higher than that of the control group(P<0.05).The menstruation scores of patients in both groups after operation were higher than those before operation,and the menstruation scores of patients in the observation group after 3 months of operation were higher than the control group(P<0.05).The RI and PI values of uterine artery in the two groups were significantly lower than those before operation,and the RI and PI values in the observation group were significantly lower than those in the control group 3 months after operation(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group(97.62%vs 82.14%,P<0.05).There was no significant difference in the incidence of postoperative adverse reactions between the two groups(P>0.05).Conclusion Three lumen balloon catheter irrigation and drainage after hysteroscopic separation of uterine cavity adhesion can promote endometrial repair,improve uterine artery blood flow,reduce the risk of uterine cavity adhesion and improve menstruation.
作者
李燕
张仁琦
马俊旗
LI Yan;ZHANG Renqi;MA Junqi(Department of Gynecology,The First Affiliated Hospital of Xinjiang Medical University,Urumhi 83000,China)
出处
《中国妇产科临床杂志》
CSCD
2023年第3期278-281,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
新疆维吾尔自治区自然科学基金资助项目(2017D01C319)。
关键词
宫腔粘连分离术
三腔球囊导管
宫腔冲洗引流
子宫动脉
separation of intrauterine adhesions
three lumen balloon catheter
rrigation and drainage of uterine cavity
uterine artery
