充水球囊预防重度宫腔粘连分离术后再粘连的临床分析  

Clinical analysis of water-filled balloon in preventing re-adhesion after severe intrauterine adhesion separation

作　　者：张宁宁[1] ZHANG Ningning(Department of Obstetrics and Gynecology,Jiamusi Da Xue Hong Da Yi Yuan,Jiamusi 154000,China)

机构地区：[1]佳木斯大学宏大医院妇产科

出　　处：《中国现代医生》2019年第11期63-65,共3页China Modern Doctor

摘　　要：目的探讨充水球囊预防重度宫腔粘连(intrauterine adhesions,IUA)分离术后再粘连的临床效果。方法选取2016年1月~2017年12月我院接收的64例重度IUA患者作为此次研究对象,按照随机数字表法将其分为对照组与观察组,各32例,对照组术中放置金属圆环以防术后再粘连,而观察组术中放入充水球囊后再放置金属圆环。比较两组术后月经改善率、再粘连发生率,并观察两组治疗前后子宫内膜增长与月经量变化情况。结果观察组月经改善率明显高于对照组,宫腔再粘连发生率明显低于对照组,差异有统计学意义(P<0.05);治疗前,两组患者子宫内膜增长情况与月经量水平对比差异无统计学意义(P>0.05);治疗后1个月、3个月,观察组子宫内膜增长厚度明显高于大于对照组,月经量在治疗3个月后明显多于对照组,差异有统计学意义(P<0.05)。结论使用充水球囊预防重度IUA分离术后再粘连效果显著,有助于促进子宫内膜生长,帮助患者恢复正常的月经周期与月经量,改善其整体健康状况,值得在临床推广使用。Objective To investigate the clinical effect of water-filled balloon in preventing re-adhesion after severe intrauterine adhesions(IUA) separation. Methods 64 patients with severe IUA who were admitted in our hospital from January 2016 to December 2017 were enrolled. The patients were divided into the control group and the observation group according to the random number table method, with 32 patients in each group. A metal ring was placed during the operation to prevent re-adhesion after surgery, while the metal ring was placed in the observation group after the water-filled balloon was placed. The improvement rate of menstruation and the incidence of re-adhesion were compared between the two groups. The endometrial growth and the changes of menstrual flow before and after treatment were observed. Results The menstrual improvement rate of the observation group was significantly higher than that of the control group. The incidence of uterine re-adhesion in the observation group was significantly lower than that of the control group(P<0.05). Before treatment, there was no significant difference in the endometrial growth and menstrual volume between the two groups(P>0.05). The thickness of endometrial growth in the observation group was significantly higher than that in the control group at one month and 3 months after treatment. The menstrual volume was significantly higher than that in the control group after 3 months of treatment. The difference was statistically significant(P<0.05). Conclusion The use of water-filled balloon to prevent re-adhesion after severe IUA separation has significant difference, which can promote the growth of endometrium, help patients to restore normal menstrual cycle and menstrual flow, and improve their overall health. It is worthy of clinical promotion.

关 键 词：充水球囊 金属圆环 重度宫腔粘连分离术 再粘连 

分 类 号：R711.74[医药卫生—妇产科学]