自制橡皮圈套环在宫腔粘连不孕患者分离术中的应用  

Application of self- made rubber lantern ring in exclusion of intrauterine adhesion in infertile patients

作　　者：张昀[1] 徐洪燕[1] 蔡立义[1] 熊芳[1] 肖潇[1] 韩秋萍[1] 顾映洁[1] 项静英[1] 

机构地区：[1]南京医科大学附属无锡妇幼保健院,江苏无锡214002

出　　处：《中国妇幼保健》2014年第12期1952-1954,共3页Maternal and Child Health Care of China

基　　金：2011年无锡市医院管理中心重大主攻项目〔YGZZ1107〕

摘　　要：目的:探讨自制橡皮圈套环在不孕的宫腔粘连患者行宫腔粘连分离术后减少再次粘连几率的临床可行性。方法:将宫腔粘连患者62例按同等配比分为自制橡皮圈套环组(A组)30例与传统O环组(B组)32例。62例患者均在宫腔镜下行宫腔粘连分离术,术后A组宫腔内放置自制橡皮圈套环1枚,B组放置普通O环1枚,两者术后均予抗生素止血药预防感染止血治疗,同时雌孕激素周期治疗。结果:A组30例宫腔粘连患者术后均未再发粘连,其中有15例获得正常妊娠。B组32例中7例再发粘连,10例获得正常妊娠。结论:自制橡皮圈套环在宫腔粘连不孕患者行宫腔粘连分离术后提高宫腔粘连分离的效果,减低再发粘连风险方面效果优于传统粘连术后上O环组。Objective： To explore the clinical feasibility of self - made rubber lantern ring in exclusion of intrauterine adhesion （IUA） in infertile patients to reduce the incidence rate of adhesion again. Methods ： Sixty - two patients with IUA were divided into group A （30 patients） and group B （32 patients） . All the patients were treated with exclusion of intrauterine adhesion, after surgery, the patients in group A and group B were treated with self - made rubber lantern ring and conventional O ring, respectively; antibiotics, hemostatic a- gents and hormone replacement therapy were used in the two groups. Results： No recurrence was found in group A, and 15 patients got nor- mal pregnancy; recurrence occurred in 7 patients in group B, and 10 patients got normal pregnancy. Conclusion： Self- made rubber lan- tern ring is superior to conventional O ring in the aspects of improving the effect of exclusion of intrauterine adhesion in infertile patients and reducing the risk of recurrence.

关 键 词：橡皮圈套环 宫腔粘连分离术 不孕症 

分 类 号：R711.6[医药卫生—妇产科学]