【摘要】 目的:探讨宫腔镜手术治疗宫腔粘连(intrauterine adhesion,IUA)的有效性和安全性。方法:2003年4月～2006年5月对32例经宫腔镜确诊的IUA施行宫腔镜IUA分离术。结果:32例患者中宫腔轻度粘连12例、中度粘连12例、重度粘连8例,32例患者1次手术后宫腔形态恢复正常占87.5%,术后1月临床症状(闭经、月经量少、腹痛)改善率93.7%。结论:宫腔镜检是诊断宫腔粘连的首选方法,宫腔镜手术治疗IUA安全有效,术后宫腔置放Foley尿管可预防术后再粘连,雌孕激素周期治疗对于宫内膜修复有一定作用。更多还原

【Abstract】 Objective:To evaluate the effectiveness and safety of treatment of hysteroscopic operations in the management of intrauterine adhesion(IUA).Methods:Hysteroscopic exclusion was performed in 32 patients who were confirmed as IUA by hysteroscopy between April 2003 and May 2006.Results:Shape of uterus cavity returned to normal was 87.5% of 32 patients after the first operation.Menstruation returned to normal was 93.7% of 32 patients.Conclusion:Hysteroscopy is the best method in diagnosing IUA.The treatment of hysteroscopic operations in the management of IUA is safe and effective.Foley catheter placement can prevent the postoperative re-adhesion,periodic treatment of estrogen and progestogen has some actions on repairing endomertium.更多还原