宫腔球囊联合金属圆形节育环和戊酸雌二醇预防宫腔粘连分离术后复发  

THE CLINICAL OBSERVATION OF INTRAUTERINE ADHESION POST-OPERATIVE RECURRENCE PREVENTION BY COMBINED THERAPY OF INTRAUTERINE BALLOON,CONTRACEPTIVE RING AND ESTRADIOL VALERATE

作　　者：蔡素琴[1] 陈毕蓝[1] 陈惠梅[1] 

机构地区：[1]潮州市妇幼保健院,广东潮州521000

出　　处：《现代医院》2012年第11期48-49,共2页Modern Hospitals

摘　　要：目的探讨宫腔粘连分离术后预防复发的有效方法。方法将门诊宫腔镜检查确诊为中重度宫腔粘连的60例患者,进行宫腔镜下宫腔粘连分离术,术后随机分为两组,观察组予宫腔球囊联合金属圆形节育环和戊酸雌二醇综合疗法,对照组予放置金属节育环治疗,术后3个月月经干净后复查宫腔镜,观察宫腔恢复情况,判断疗效。结果 60例患者术后随访3～15个月,其中14例宫内妊娠,3例自然流产,观察组月经恢复率91.7%,对照组月经恢复率62.5%,宫腔镜检查两组术后宫腔形态均显著优于术前,观察组术后再粘连复发率显著低于对照组(p<0.05)。结论宫腔镜是宫腔粘连的诊断金标准,宫腔镜手术是其首选治疗方法,采用综合疗法能更有效地降低复发率。Objective To discuss the effective methods to prevent intrauterine adhesion recurrence after hys- teroscopy electrosurgery treatment. Methods We collected 60 patients diagnosed intrauterine adhesion by hysterosco- py, firstly all the patients were taken hysteroscopy electrosurgery treatment, then they were randomly divided into 2 groups. The experimental group were taken combined therapy consists of Intrauterine balloon, contraceptive ring and estradiol valerate, meanwhile the control group only contraceptive ring therapy. Both groups took hysteroscopic exami- nation after 3 months to observe the intrauterine condition. Results All the patients were followed up for 3 to 16 months, 14 patients had pregnancy and 3 natural abortion. The hysteroscopic morphological status of both groups shows that the intrauterine adhesion has released, The menstruation recovery ratio of the experimental group is 91.7%, and only 62. 5% in the control group, the intrauterine adhesion recurrence of experimental group is statisti- cally significant less than the control group（p 〈 0.05）. Conclusion Hysteroscopic examination is the gold standard in diagnosing intrauterine adhesion, after hysteroscopy electrosurgery treatment, the combined therapy will significant- ly reduce the recurrence.

关 键 词：宫腔球囊 金属圆形节育环 戊酸雌二醇 宫腔粘连 复发 

分 类 号：R713.4[医药卫生—妇产科学]