【摘要】 目的评价中重度宫腔粘连患者行宫腔镜粘连分离术后,宫腔放置防粘连膜综合方法与宫内节育器预防再粘连的效果。方法 2015年1月—2017年12月对门诊宫腔镜检查明确宫腔中重度粘连患者共60例,住院行宫腔镜下宫腔粘连分离术,随机分为两组,研究组30例术中行宫腔粘连分离术后宫腔放置防粘连膜综合方法预防再粘连联合术后雌孕激素序贯疗法,对照组术后放置宫内节育器联合雌孕激素序贯疗法。观察两组月经量恢复情况,评估宫腔形态恢复情况及受孕情况。结果研究组月经改善率及妊娠率均高于对照组,差异有统计学意义(P<0.05)。研究组宫腔形态恢复率高于对照组,差异有统计学意义(P<0.05)。结论术后宫腔放置防粘连膜综合方法预防再粘连的效果明显优于单纯放置宫内节育器,能显著改善宫腔再次粘连发生,患者术后月经改善及宫腔解剖结构恢复情况均高于传统方法。更多还原

【Abstract】 Objective To explore the effect on serious intrauterine adhesions patients after hysteroscopy separation for postoperative re-adhesion of two different treatments. Methods 60 cases of patients diagnosed with severe adhesion by hysteroscopy examination from January 2015 to December 2016 were randomly divided into two groups. Anti-adhesion membrane was placed in uterus of 30 cases(observation group) after intrauterine adhesions separation surgery, and hormone sequential therapy was followed to prevent postoperative re-adhesion. Intrauterine device was placed in uterus of 30 cases(control group) after surgery, and hormone sequential therapy was followed too. Results The rate of menstrual period recovery and pregnancy rate in observation group were statistically significantly higher than in the control group(P < 0.05). The rate of uterine cavity shape recovery was higher in observation group(P < 0.05). Conclusion Anti-adhesion membrane placed in cavity after hysteroscopy can improve preventing readhesion effect, and this therapy may be superior to intrauterine device. The improvement of menstruation and the recovery of uterine cavity anatomy in patients who received the above therapy were higher than those treated with traditional methods.更多还原