宫腔镜配合中西医治疗不同程度宫腔粘连的效果观察  

Effect observation of hysteroscopy combined with traditional Chinese medicine and western medicine in the treatment for different degree of intrauterine adhesion

作　　者：聂莹[1] 黄碧艳[2] 

机构地区：[1]广东省佛山市南海区妇幼保健院妇科,广东佛山528200 [2]武汉纺织大学校医院,武汉430070

出　　处：《中国当代医药》2014年第18期166-168,共3页China Modern Medicine

摘　　要：目的：探讨宫腔镜配合中西医治疗不同程度宫腔粘连的临床效果。方法对2008年3月~2013年8月在本院因周期性腹痛、月经异常（月经减少或闭经）或不孕等住院行宫腔镜分离粘连，术后配合口服中药3周及雌孕激素序贯治疗3周期的108例诊断为宫腔粘连患者的病例资料进行回顾性分析。结果宫颈粘连程度与患者的治愈率呈正相关（r=0.32，P=0.01）。I度粘连与Ⅱ度粘连患者的刮宫次数、总有效率比较，差异无统计学意义（P＞0.05）。I、Ⅱ度粘连与≥Ⅲ度粘连患者的刮宫次数、总有效率比较，差异有统计学意义（P＜0.05）。结论宫腔镜配合中西医治疗宫腔粘连是一种简便、安全、有效的方法，值得临床推广应用。Objective To investigate clinical efficacy of hysteroscopy combined with traditional Chinese medicine and western medicine in the treatment for different degree of intrauterine adhesion. Methods The data of 108 cases of in-trauterine adhesion patients treated with hysteroscopy,traditional Chinese medicine,estrogen and rogesterone sequential therapy in our hospital from March 2008 to August 2013 were analyzed retrospectively. Results The cure rate of patient was positively associated with the degree of cervical adhesion （r=0.32,P=0.01）.Curettage number,total effective rate in patient with Ⅰ degree of adhesion and II degree of adhesion was compared respectively,with no statistical difference （P〉0.05）.Curettage number,total effective rate in patient with Ⅰ, II degree of adhesion and ≥Ⅲ degree of adhesion was compared respectively,with statistical difference（P〈0.05）. Conclusion Hysteroscopy combined with traditional Chi-nese medicine and western medicine in the treatment of intrauterine adhesion is a simple,safe and effective method, which is worthy of clinical promotion and application.

关 键 词：宫腔镜 宫腔粘连 诊治 

分 类 号：R713[医药卫生—妇产科学]