人流术后宫腔用医用透明质酸钠凝胶预防宫腔粘连的临床效果分析  

Clinical Effect Analysis of Medical Sodium Hyaluronate Gel Used in Uterine Cavity to Prevent Uterine Adhesion after Artificial Abortion

作　　者：荀爱华[1,2] 叶海燕 倪勇艳 XUN Ai-hua;YE Hai-yan;NI Yong-yan(Department of Obstetrics and Gynecology,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing,Jiangsu Province,210048 China;Jiangsu Academy of Traditional Chinese Medicine,Nanjing,Jiangsu Province,210048 China)

机构地区：[1]南京中医药大学附属中西医结合医院妇产科,江苏南京210048 [2]江苏省中医药研究院,江苏南京210048

出　　处：《系统医学》2020年第22期115-117,共3页Systems Medicine

摘　　要：目的探讨患者接受人流术后于宫腔注入医用透明质酸钠凝胶对预防宫腔粘连的临床应用价值。方法该次于2017年2月—2019年12月抽选该院门诊接受人流术的患者133例作为研究对象,根据时间先后进行分组,对照组术后予以常规抗感染治疗,观察组术后于宫腔内注入医用透明质酸钠凝胶,记录且对比两组患者术后恢复情况,测量两组患者术前及术后子宫内膜厚度变化,计算各组患者发生宫腔粘连的总概率。结果观察组患者通过术后宫腔注入透明质酸钠凝胶治疗流血量(40.43±3.65)mL明显少于对照组,同时腹痛持续时间(20.24±5.56)min、阴道流血时间(2.64±0.78)d、月经恢复时间(27.34±3.12)d均明显短于对照组,差异有统计学意义(t=22.323、15.259、24.034、12.879,P<0.05)。经过2个月的恢复,观察组患者子宫内膜厚度(10.13±0.46)mm大于对照组,差异有统计学意义(t=24.328,P<0.05)。另外观察组术后出现宫腔粘连的概率相较对照组更低,差异有统计学意义(P<0.05)。结论患者人流术后在宫腔注入医用透明质酸钠凝胶能够促进子宫恢复,降低宫腔粘连并发症概率。Objective To investigate the clinical application value of injecting medical sodium hyaluronate gel into the uterine cavity in the prevention of intrauterine adhesions in patients undergoing artificial abortion.Methods From February 2017 to December 2019,133 patients who underwent abortion in the outpatient department of the hospital were selected as the research objects.They were grouped according to the time sequence.The control group received conventional anti-infective treatment after surgery.In the observation group,medical sodium hyaluronate gel was injected into the uterine cavity after the operation,and the postoperative recovery of the two groups of patients was recorded and compared.The changes in the endometrial thickness of the two groups before and after the operation were measured,and the total probability of the uterine cavity adhesion of the patients in each group was calculated.Results The bleeding volume(40.43±3.65)mL of the observation group was significantly less than that of the control group by injecting sodium hyaluronate gel into the uterine cavity after surgery.At the same time,the duration of abdominal pain was(20.24±5.56)min and the vaginal bleeding time was(2.64±0.78)d.The menstrual recovery time(27.34±3.12)d was significantly shorter than the control group,the difference was statistically significant(t=22.323,15.259,24.034,12.879,P<0.05).After 2 months of recovery,the endometrial thickness(10.13±0.46)mm of the observation group was greater than that of the control group,the difference was statistically significant(t=24.328,P<0.05).In addition,the probability of uterine adhesions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The injection of medical sodium hyaluronate gel into the uterine cavity after abortion can promote the recovery of the uterus and reduce the probability of complications of uterine adhesions.

关 键 词：人流术 宫腔 透明质酸钠凝胶 宫颈粘连 

分 类 号：R169[医药卫生—公共卫生与预防医学]