宫腔镜下手术治疗宫腔粘连的疗效及宫腔粘连的危险因素分析  

Effect of Hysteroscope in Treatment of Intrauterine Adhesion and Its Risk Factors

作　　者：张玉婷[1] 陈江 曹杰[1] 赵纯全[1] 石兵[3] 

机构地区：[1]重庆医科大学附属大学城医院妇产科,重庆401331 [2]贵阳贵航医院肝胆肠外科,贵州贵阳550009 [3]重庆医科大学附属大学城医院消化中心,重庆401331

出　　处：《现代生物医学进展》2016年第11期2120-2122,2129,共4页Progress in Modern Biomedicine

摘　　要：目的:探究宫腔镜下手术治疗宫腔粘连(IUA)的临床疗效及IUA发生的相关危险因素。方法:本研究于2014年6月~2015年6月期间,选择我院流产患者213例为研究对象,根据患者是否发生IUA,将其分为粘连组(103例)和未粘连组(110例),粘连组患者在宫腔镜下行手术治疗。详细记录两组基本信息及相关疾病史,分析IUA的影响因素,观察治疗后疗效。结果:单因素分析显示两组患者间孕次、吸宫时负压及吸宫时间比较,差异均有统计学意义(P<0.05);多因素分析显示吸宫时负压与吸宫时间是IUA的危险因素(P<0.05);宫腔镜下术后轻度IUA患者总有效率为100%,中度IUA患者总有效率为88.24%;重度IUA患者总有效率为75.00%;三组间治疗的总有效率存在显著差异(x^2=13.870,P=0.001)。结论:吸宫时负压与吸宫时间是IUA发生的危险因素,宫腔镜下治疗IUA具有较高的临床疗效,值得临床推广应用。Objective： To explore the clinical effect of hysteroscope in treatment of intrauterine adhesion（IUA） and analyze the risk factors for IUA.Methods： A total of 213 patients,who underwent abortion in University City Affiliated Hospital of Medical University Of Chongqing from June 2014 to June 2015,were selected and divided into adhesion group（n=103） and no adhesion group（n=110） according to the status of IUA,and the adhesion group underwent surgery under hysteroscope.The basic information and relevant disease history of the two groups were recorded.The risk factors of IUA and the curative effectof adhesion group were analyzed.Results： The single factor analysis showed that there were significant differences in the gravidity times,negative pressure of suck palace and time of suck palace between the two groups（P〈0.05）.Multiple factor analysis showed negative pressure of suck palace and time of suck palace were the risk factors for IUA（P〈0.05）.The total effective rates of mild,moderate and severe IUA patients were 100.00%,88.24% and75.00% respectively after operation under hysteroscopy,the differences were statistically significant（x^2=13.870,P=0.001）.Conclusion：Negative pressure of suck palace and time of suck palace are the risk factors of IUA,and hysteroscope has a good effect in treatment of IUA,which is worthy of clinical application.

关 键 词：宫腔镜 宫腔粘连 危险因素 

分 类 号：R711.3[医药卫生—妇产科学] R713[医药卫生—临床医学]