【摘要】 目的分析支原体感染与宫腔粘连术后疗效的相关性。方法回顾性分析2008年1月～2009年12月在该内镜诊治中心194例宫腔镜宫腔粘连切除术患者的临床资料。术前支原体阳性者132例为观察组(术后3个月支原体仍为阳性者70例为观察组Ⅰ,术后3个月支原体转阴组62例为观察组Ⅱ),术前术后支原体均阴性者62例为对照组。观察组Ⅰ、Ⅱ及对照组:中度粘连分别为34例、32例、30例,重度粘连分别为36例、30例、32例。观察术后月经改善、妊娠以及宫腔再粘连情况。结果观察组Ⅰ中度粘连患者月经改善率、妊娠率、再粘连率分别为47.1%、10.0%、26.5%,重度粘连患者分别为38.9%、3.4%、38.9%;观察组Ⅱ中度粘连患者月经改善率、妊娠率、再粘连率分别为81.3%、50.0%、3.1%,重度粘连患者分别为70.0%、42.1%、13.3%;对照组中度粘连患者月经改善率、妊娠率、再粘连率分别为90.0%、43.7%、6.7%,重度粘连患者分别为84.4%、38.1%、18.5%。观察组Ⅰ中度粘连及重度粘连患者月经改善率、妊娠率均明显低于观察组Ⅱ和对照组,再粘连率均高于观察组Ⅱ和对照组,差异均有显著性;观察组Ⅱ中度粘连及重度粘连患者和对照组相比月经改善率、妊娠率及宫腔再粘连率差异均无显著性。结论支原体感染与宫腔粘连愈后有相关性,宫腔粘连患者术前及术后应积极治疗支原体感染。更多还原

【Abstract】 Objective To investigate the relationship between mycoplasma infection and therapeutic effect of TCRA.Methods The clinical data of 194 patients performed TCRA from January 2008 to December 2009 in Diagnosis and Treatment of Gynecologic Endoscopy Center of the Third Affiliated Hospital of Zhengzhou University were retrospectively analyzed.The observation group involved 132 cases with mycoplasma infection positive preoperative,including 70 cases of GroupⅠstill positive and 62 cases of GroupⅡnegative 3 months after operations.The control group included 62 cases showed negative preoperative and postoperative.For Group I,Group II and control group,the cases of moderate adhesions were 34,32 and 30 respectively,and the cases of severe adhesions were 36,30 and 32 respectively.The improvement of menstruction,pregnancy rate and readhesion rate were observed.Results For the cases with moderate adhesion,the rate of menstrual improvement was 47.1% in groupⅠ,81.3% in groupⅡ,90.0% in control group,the pregnancy rate was 10% in group Ⅰ,50% in group Ⅱ,43.7% in control group,and the readhesion rate was 26.5% in group Ⅰ,3.1% in group Ⅱ,6.7% in control group.For the cases with severe adhesion,the rate of menstrual improvement was 38.9% in group Ⅰ,70.0% in group Ⅱ,84.4% in control group,the pregnancy rate was 3.4% in group Ⅰ,42.1% in group Ⅱ,38.1% in control group,and the readhesion rate was 38.9% in group Ⅰ,13.3% in group Ⅱ,18.5% in control group.The rates of menstrual improvement and pregnancy for cases of the moderate and severe adhesion in Group Ⅰwere obviously lower than those in Group Ⅱ and control group.On the contrary,the readhesion rate of GroupⅠwas higher than that of Group Ⅱ and control group,with a significant difference.However,compared with the control group,there were no statistically significant difference in the rates of menstrual improvement,pregnancy and readhesion between moderate adhesion and severe adhesion cases in Group Ⅱ.Conclusion There is a correlation between mycoplasma infection and intrauterine adhesion.The sufferers of intrauterine adhesions should take active treatments for mycoplasma infections before and after operation.更多还原