不同方式对宫腔镜术后宫腔粘连预防效果分析  

Analysis of prevention effect of different methods on intrauterine adhesion after hysteroscopic surgery

作　　者：杨智慧 唐义清[1] 梁雪梅 陈其林 蒋英 Yang Zhihui;Tang Yiqing;Liang Xuemei;Chen Qilin;Jiang Ying(Department of Obstetrics and Gynecology,People's Hospital of Wangcang County,Sichuan Guangyuan 628200)

机构地区：[1]旺苍县人民医院妇产科,四川广元628200

出　　处：《中国社区医师》2020年第32期80-81,共2页Chinese Community Doctors

摘　　要：目的:评价在宫腔镜术后不同方式对宫腔粘连的预防效果。方法:2018年1月-2019年7月收治实施宫腔镜手术的患者80例,随机分为三组。A组放置宫内节育器;B组注入宫安康;C组放置宫内节育器+注入宫安康。观察三组临床效果。结果:C组治疗3个月后宫腔粘连程度(AFS)评分、月经症状(MDQ)评分及粘连发生率均低于A组、B组,差异有统计学意义(P<0.05)。A组治疗后AFS评分、MDQ评分均低于B组,差异有统计学意义(P<0.05);A组、B组粘连发生率比较,差异无统计学意义(P>0.05)。结论:在宫腔镜术后宫内放置节育器并注入宫安康,可改善宫腔粘连情况、降低粘连发生率、促进患者月经恢复,效果显著。Objective:To evaluate the preventive effect of different methods on intrauterine adhesion after hysteroscopic surgery.Methods:From January 2018 to July 2019,80 patients underwent hysteroscopic surgery were selected and randomly divided into three groups.Group A was placed with IUD.Group B was injected into Gong Ankang;Group C was placed with IUD and injection into Gong Ankang.The clinical effects between the three groups were observed.Results:3 months after treatment,AFS score,MDQ score and incidence of intrauterine adhesion in group C were all lower than group A and Group B,with the differences were statistically significant(P<0.05).AFS score and MDQ score in group A after treatment were lower than group B,with the differences were statistically significant(P<0.05).Comparison of adhesion incidence between group A and Group B,with the difference was not statistically significant(P>0.05).Conclusion:Placing IUD in utero after hysteroscopy and injecting Gong ankang can improve the condition of intrauterine adhesions,reduce the incidence of adhesions,and promote menstrual recovery,with significant effects.

关 键 词：宫腔镜术后 宫腔粘连 预防 

分 类 号：R713.4[医药卫生—妇产科学]