球囊扩张预防宫腔重度粘连分离术后宫腔再粘连效果  

Effect of balloon dilatation for preventing intrauterine readhesion of patients with severe intrauterine adhesion after uterine separative operation

作　　者：王宏锋 孟宝丽 段雪娇 WANG Hongfeng;MENG Baoli;DUAN Xuejiao(Pingdingshan Institute of Family Planning Science and Technology,Pingdingshan,Henan Province,467000)

机构地区：[1]河南省平顶山市计划生育科学技术研究所,467000

出　　处：《中国计划生育学杂志》2022年第5期1196-1198,共3页Chinese Journal of Family Planning

摘　　要：目的:评估重度宫腔粘连分离术后行球囊扩张术,术后注入透明质酸钠合并人工周期治疗预防宫腔术后发生再粘连疗效.方法:收集2017年6月—2020年6月本所就诊的重度宫腔粘连患者124例,均行宫腔镜下粘连分离术,术后宫腔注入透明质酸钠并放置一个3~5ml球囊支撑宫腔,于术后1周和2周分别行球囊扩张术(60例,观察组),术后仅宫腔注入透明质酸钠(64例,对照组),术后均予大剂量雌激素合并人工周期治疗.术后随访患者宫腔恢复以及月经情况.结果:术后1个月宫腔再粘连率观察组(18.3%)低于对照组(40.6%),月经情况好转率观察组(83.3%)高于对照组(59.4%)(均P<0.05).结论:对于重度宫腔粘连患者,通过宫腔镜下宫腔粘连分离术,配合术后球囊扩张术预防宫腔再粘连,能有效预防再粘连,促进月经恢复.Objective: To evaluate the efficacy of balloon dilation and injection of sodium hyaluronate combined with artificial cycle therapy for preventing the intrauterine readhesion of patients with severe intrauterine adhesion after the uterine separative operation. Methods: 124 patients with severe intrauterine adhesions who had been given sodium hyaluronate injected into the uterine cavity and a 3-5 ml balloon inserted for supporting the uterine cavity after hysteroscopic adhesions separation operation were involves in this study from June 2017 to June 2020. 60 patients in the observation group were given balloon dilatation in the first and the second week after operation, and 64 patients in the control group were not given balloon dilatation. All the patients in the two groups were treated with high-dose estrogen combined with artificial cycle. The recovery of uterine cavity and the menstrual situation of the patients in the two groups were followed up. Results: The rate of intrauterine readhesion(18.3%) of the patients in the observation group within 1 month after operation was significantly lower than that(40.6%) of the patients in the control group. The rate of menstrual improvement(83.3%) of the patients in the observation group was significantly higher than that(59.4%) of the patients in the control group(all P<0.05). Conclusion: Hysteroscopic intrauterine adhesion separation combined with postoperative balloon dilatation for treating the patients with severe intrauterine adhesions can significantly prevent their intrauterine readhesion, and can improve their menstrual recovery.

关 键 词：重度宫腔粘连 宫腔粘连分离术 术后球囊扩张 透明质酸钠 预防宫腔再粘连 月经恢复 

分 类 号：R713.4[医药卫生—妇产科学]