中重度宫腔粘连分离术后预防在粘连方法的比较  

Comparison of methods for prevention of re-adhension after intrauterine adhension separation

作　　者：华琼 武海英[2] 

机构地区：[1]河南省新县人民医院妇产科,465550 [2]河南省人民医院妇产科

出　　处：《中国实用医药》2013年第6期36-37,共2页China Practical Medicine

摘　　要：目的比较中重度宫腔粘连患者术后三种预防粘连方法的疗效。方法 80例中重度宫腔粘连患者进行宫腔镜下宫腔粘连分离,术后分别采用A组,宫腔镜检查组,B组,节育环组,C组,球囊组分别于术后1个月、3个月复查宫腔粘连情况,并记录月经改善及受孕情况。结果三种方法术后预防再粘连的效果都很显著,差异无统计学意义。术后放置5d球囊管后,放置宫内节育环,不增加感染率。结论相对经济,效果肯定,患者依从性好,受孕率高,可作为宫腔粘连分离防止再粘连的常规用法。Objective To compare the effects of three methods for prevention of re-adhension after hysteroscopic separation.Methods 80 patients of intrauterine adhension after hysteroscopic separation were randly assigned to group A,hysteroscopic checking;group B,IUD group;group C,Balloon catheter placing group.After 1 month,3 months follow-up,detailed menstruation improvement and preganancy condition after operaration were recorded.Results There were no significant difference among three groups,All of them were effective.After giving 5 day＇s Balloon catheter,replacing IUD,didn＇t increase infection and improving pregnancy.Conclusion It can be used as conventional method for prevention of re-adhension.

关 键 词：术后预防 宫腔粘连 粘连分离 粘连方法 中重度 放置宫内节育环 患者依从性 宫腔镜检查 

分 类 号：R713[医药卫生—妇产科学]