宫腔粘连综合征45例诊治分析  

Diagnosis and Treatment of Asherman's Syndrome in 45 Cases.

作　　者：乔光莉[1] 张灵武[1] 杨雨卿[2] 

机构地区：[1]宁夏医学院附属医院妇产科,银川750004 [2]银川市第一人民医院妇产科,银川750001

出　　处：《宁夏医学院学报》2005年第4期294-296,299,共4页Journal of Ningxia Medical College

摘　　要：目的探讨宫腔镜手术为主联合应用宫内节育器及雌孕激素替代疗法综合诊治宫腔粘连(Asherman综合征)的有效性和安全性。方法对宫腔镜下手术分离宫腔粘连的45例患者的临床资料进行总结分析。结果宫腔粘连I度为57.8%,II度28.9%,III度8.9%,IV、V度各占2.2%。治愈36例(80%),有效8例(18%),总有效率97%,无效1例(2.2%)。结论宫腔镜手术恢复宫腔正常解剖学形态后,联合应用宫内节育器和雌、孕激素替代治疗预防粘连的复发,对于宫腔粘连是一种简便、有效的治疗方法。Objective To investigate the availability and security of hysteroscopy combined with intrauterine device and estrogen and progesterone replacement therapy in the management of Asherman＇ s Syndrome. Methotis The clinical datas of 45 patients who had uterine conglutination treated with hysteroscopy were analyzed. Results After hysteroscopy treatment, Asherman＇ s Syndrome with degree Ⅰ to Ⅴ were 57.8 %, 28.9 %, 8.9 %, 2.2 %, 2.2 %, respectively. Thirty six patients （80 % ） were recovered; 8 patients were partly - recovered. The totle rate of recovery was 97%. While a re - adhesion took place only in one patient（2.2% ）. Conclusion The uterine cavity could be reestablished for patients suffering from Asherman＇ s syndrome by hysteroscopy. The re - adhension of postoperation could be prevented by Intrauterine Device and horrnome replacement therapy. These could be a convenient and effective method for Asherman＇ s Syndrome.

关 键 词：宫腔粘连 宫腔镜 宫内节育器 雌孕激素替代疗法 宫腔粘连综合征 诊治分析 ASHERMAN综合征 宫腔镜手术 激素替代治疗 解剖学形态 

分 类 号：R713.4[医药卫生—妇产科学]