一次性球囊子宫支架用于宫腔粘连分离术临床效果及影响因素  

The influence of disposable balloon uterine stent for patients after intrauterine adhesion exclusion on the clinical effect

作　　者：苏果 车会会 张宁芝 SU Guo;CHE Huihui;ZHANG Ningzhi(Fuyang People's Hospital, Anhui Province, 236000)

机构地区：[1]安徽省阜阳市人民医院,236000

出　　处：《中国计划生育学杂志》2021年第10期2068-2072,共5页Chinese Journal of Family Planning

摘　　要：目的:探究一次性使用球囊子宫支架用于宫腔粘连分离术对患者月经恢复、妊娠影响及再粘连发生相关因素。方法:将本院2018年1月—2019年12月收治的108例实施宫腔粘连分离术患者的临床资料进行回顾性分析,依据患者不同手术方式分组,术后放置一次性使用球囊子宫支架56例(支架组),术后放置宫内节育器52例(节育器组),对比两组患者月经恢复、术后1个月再粘连发生、术后1年妊娠及不良反应发生情况,分析再粘连发生的相关因素。结果:支架组月经恢复总有效率(85.7%)高于节育器组(73.1%),预防再粘连总有效率(96.4%)高于节育器组(76.9%),不良反应发生率(3.6%)低于节育器组(21.2%),术后再粘连发生率(8.9%)低于节育器组(42.3%)(P<0.05)。logistic回归分析,宫腔操作次数、县级以下医院宫腔操作史、胚胎停育或中晚期妊娠终止后清宫为患者发生再粘连的独立危险因素(P<0.05)。结论:一次性使用球囊子宫支架用于宫腔粘连分离术临床疗效理想,能够有效促进月经恢复,改善妊娠结局,降低再粘连发生概率,减少不良反应;宫腔操作次数、县级以下医院宫腔操作史、胚胎停育或中晚期妊娠终止后清宫是影响患者发生再粘连的独立危险因素,需多加关注。Objective:To explore the influence of disposable balloon uterine stent for patients after intrauterine adhesion exclusion on their menstrual recovery and later pregnancy,and to analyze the related factors of recurrence of intrauterine adhesion.Methods:The clinical data of 108 patients with intrauterine adhesion exclusion from January 2018 to December 2019 were analyzed retrospectively.These patients were divided into groups A and B according to the different surgical methods.56 patients in group A were given disposable balloon uterine stent after operation,and 52 patients in group B were given intrauterine device after operation.The menstrual recovery,the recurrence of intrauterine adhesion within 1 month after operation,and pregnancy within 1 year after operation,and adverse reaction rate of the patients were compared between the two groups.The related factors of the intrauterine adhesion recurrence of the patients were analyzed.Result:The total rate of menstrual recovery(85.7%)of the patients in group A was significant higher than that(73.1%)of the patients in group B.The total effective rate(96.4%)of preventing readhesion of the patients in group A was significant higher than that(76.9%)of the patients in group B.The incidence of adverse reactions(3.6%)of the patients in group A was significant lower than that(21.2%)of the patients in group B.The incidence of postoperative readhesion(8.9%)of the patients in group A was significant lower than that(42.3%)of the patients in group B(P<0.05).Logistic regression analysis showed that times of intrauterine operation,the history of intrauterine operation by the provider from the hospital below the county level,embryo damage history,and history of curettage caused by embryo termination during the second or third trimester of pregnancy were the independent risk factors of intrauterine adhesion recurrence(P<0.05).Conclusion:The disposable balloon uterine stent for patients after intrauterine adhesion exclusion has ideal clinical effect,which can effectively promote menstr

关 键 词：宫腔粘连分离术 一次性使用球囊子宫支架 月经恢复 再粘连复发 影响因素 

分 类 号：R71[医药卫生—妇产科学]