宫腔镜联合气囊扩张治疗宫腔粘连的效果观察  

Clinical efficacy of hysteroscopy and balloon dilatation in intrauterine adhesion

作　　者：吴书仪[1] 陈健华[1] 钟树林[1] 吴明秀[1] 李仲均[1] 禤文婷[1] 

机构地区：[1]广东省东莞市人民医院妇产科,广东东莞523000

出　　处：《广东医学院学报》2015年第3期357-359,共3页Journal of Guangdong Medical College

摘　　要：目的观察宫腔镜联合气囊扩张治疗宫腔粘连的效果。方法 80例宫腔粘连患者随机分为观察组和对照组,每组40例。观察组行宫腔镜联合气囊扩张手术,对照组仅行宫腔镜宫腔粘连切除术。比较两组的手术时间、术中灌流差、血钠下降水平、手术并发症及疗效。结果观察组手术并发症低于对照组(vs0%15%,P<0.05)。观察组的手术时间、术中灌流差、血钠下降水平均低于对照组(P<0.01),两组的疗效差异无统计学意义(P>0.05)。结论宫腔镜联合气囊扩张治疗宫腔粘连可缩短手术时间、减少手术并发症。Objective To observe the clinical efficacy of hysteroscopy and balloon dilatation in patients with intrauterine adhesion（IUA）. Methods Eighty IUA patients were randomly divided into observation（n=40） and control groups（n=40）. Observation group underwent hysteroscopy and balloon dilatation, while control group received hysteroscopic adhesiolysis. Operation time, perfusion volume, serum sodium, surgical complications, and clinical efficacy were compared between 2 groups. Results Operation time, perfusion volume, decreased degree of serum sodium, and surgical complications were fewer in observation group compared with control group（P〈0.01 or 0.05）, but clinical efficacy showed no difference between both groups（P〈0.05）. Conclusion Hysteroscopy and balloon dilatation can shorten the operation time and reduce the surgical complications in IUA patients.

关 键 词：宫腔粘连 宫腔镜手术 气囊扩张 

分 类 号：R713.4[医药卫生—妇产科学]