HEOS宫腔镜锐性分离术治疗重度宫腔粘连的效果观察  

Effects of HEOS hysteroscopic sharp separation on severe intrauterine adhesions

作　　者：王卉 Wang Hui(Department of Obstetrics and Gynecology,the Third People’s Hospital of Liaocheng,Liaocheng 252000,China)

机构地区：[1]山东省聊城市第三人民医院妇产科,252000

出　　处：《中国实用医刊》2020年第7期41-44,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨HEOS宫腔镜锐性分离术治疗重度宫腔粘连的效果。方法选择2016年1月至2019年1月聊城市第三人民医院收治的重度宫腔粘连患者80例,根据盲抽法将其分为两组,每组40例。对照组行宫腔镜电切分离术,观察组行HEOS宫腔镜锐性分离术,比较两组宫腔形态恢复情况、术中出血量、手术时间、术中膨宫液吸收量、宫腔粘连复发情况及妊娠情况。结果术后,观察组宫腔形态总恢复率(95.00%,38/40)高于对照组(70.00%,28/40),χ^2=8.658,P=0.003。观察组术中出血量、术中膨宫液吸收量及手术时间[(8.79±4.97)ml、(120.75±44.87)ml、(17.12±2.73)min]少于对照组[(18.70±5.17)ml、(365.21±126.75)ml、(25.08±3.25)min],差异均有统计学意义(t=8.740、11.499、11.861,P均<0.01)。两组术后1个月复发率比较差异未见统计学意义(χ^2=2.505,P=0.113);术后3个月,观察组宫腔粘连复发率(5.00%,2/40)低于对照组(22.50%,9/40),χ^2=5.165,P=0.023;观察组妊娠率(37.50%,15/40)高于对照组(20.00%,8/40),但组间比较差异未见统计学意义(χ^2=2.990,P=0.084)。结论HEOS宫腔镜锐性分离术术中出血量、术中膨宫液吸收量较少,手术时间较短,可促进重度宫腔粘连患者术后宫腔形态恢复,其复发率较低,同时可有效提升妊娠率。Objective To investigate the effects of HEOS hysteroscopic sharp separation in the treatment of severe intrauterine adhesions.Methods Eighty patients with severe intrauterine adhesions admitted to the Third People’s Hospital of Liaocheng from January 2016 to January 2019 were selected,and they were divided into two groups according to the blind extraction method,with 40 patients in each group.The control group received hysteroscopic electrotomy and separation,and the observation group received HEOS hysteroscopic sharp separation.The recovery of uterine morphology,intraoperative blood loss,operation time,intraoperative absorption of dilated uterine fluid,recurrence of intrauterine adhesion and pregnancy were compared between the two groups.Results After operation,the total recovery rate of uterine cavity morphology in the observation group(95.00%,38/40)was higher than that in the control group(70.00%,28/40),χ^2=8.658,P=0.003.The intraoperative blood loss,absorption of distended fluid and operation time in the observation group were(8.79±4.97)ml,(120.75±44.87)ml,(17.12±2.73)min,respectively,less than the(18.70±5.17)ml,(365.21±126.75)ml,(25.08±3.25)min in the control group,and the difference was statistically significant(t=8.740,11.499,11.861;all P<0.01).There was no significant difference in recurrence rate between the two groups in one month after operation(χ^2=2.505,P=0.113).The recurrence rate of intrauterine adhesions in the observation group(5.00%,2/40)was lower than that in the control group(22.50%,9/40)3 months after operation(χ^2=5.165,P=0.023).The pregnancy rate of the observation group(37.50%,15/40)was higher than that of the control group(20.00%,8/40),but the difference between the two groups was not statistically significant(χ^2=2.990,P=0.084).Conclusions The bleeding volume,amount of dilated uterine fluid absorbed and time of operation are short in HEOS hysteroscopic sharp separation surgery.The technology can promote the recovery of the postoperative uterine cavity morphology of patients w

关 键 词：宫腔粘连 HEOS宫腔镜锐性分离术 宫腔形态恢复 复发率 

分 类 号：R713[医药卫生—妇产科学]