子宫纵隔冷刀手术与电切术治疗不全子宫纵隔效果比较  

Effect comparison of cold knife operation and electrosurgical resection for treating incomplete uterine septum

作　　者：黄银娟[1] 田树轩 杨海霞[1] HUANG Yinjuan;TIAN Shuxuan;YANG Haixia(The Seventh People's Hospital of Zhengzhou City,Zhengzhou,Henan Province,450000)

机构地区：[1]河南省郑州市第七人民医院,450000

出　　处：《中国计划生育学杂志》2022年第3期538-541,共4页Chinese Journal of Family Planning

摘　　要：目的:比较子宫纵隔冷刀手术与电切术治疗不全子宫纵隔效果。方法:选取本院收治的不完全子宫纵隔患者80例,随机分为冷刀组(40例)与电切组(40例)。在月经干净3~7d后手术,分别采用冷刀手术或电切术治疗子宫纵隔,于术后3个月行宫腔镜检查或水造影B超观察临床疗效,对比两组手术时间、出血量、宫腔黏连情况以及术中并发症,对比两组治疗前与治疗3个月后黄体生成素(LH)、促卵泡激素(FSH)、雌二醇(E;)水平及术后3个月并发症和妊娠结局。结果:治疗后冷刀组总有效率(95.0%)高于电切组(75.0%),手术时间(15.2±3.3 min)短于电切组(25.4±5.8 min)(均P<0.05);两组术中出血量无差异且均未发生术中并发症。治疗后冷刀组LH、FSH水平均低于电切组,E;水平高于电切组(均P<0.05)。并发症总发生率冷刀组(5.0%)与电切组(12.5%)无差异(P>0.05),冷刀组顺产率(90.0%)高于电切组(67.5%)、自然流产率(10.0%)低于电切组(32.5%)(均P<0.05),两组均无死胎。结论:子宫纵隔冷刀手术与电切术均可有效治疗子宫纵隔,但冷刀手术操作更简单,可提高顺产率、降低自然流产率。Objective: To compare the effect of cold knife operation and electrosurgical resection for treating incomplete uterine septum.Methods: A total of 80 patients with incomplete uterine septum were selected and were randomly divided into observation group(40 cases) and control group(40 cases).Surgery was performed in 3-7 days after the menstruation.The patients in the control group were given electrosurgical resection of the incomplete uterine septum, and the patients in the observation group were given knife surgery of the incomplete uterine septum.Hysteroscopy or water-contrast ultrasound was performed for evaluated the clinical efficacy on the patients in the two groups in the 3 rd month after the operation.The operation time, the blood loss, the intrauterine adhesions situation, and the intraoperative complications of the patients were compared between the two groups.The levels of luteinizing hormone(LH), follicle stimulating hormone(FSH), and estradiol(E;), the complications rate, and the pregnancy outcomes of the patients in the two groups before treatment and 3 months after treatment were compared.Results: The total effective rate(95.0%) of the patients in the observation group was significantly higher than that(75.0%) of the patients in the control group, the operation time(15.2±3.3 min) of the patients in the observation group was significantly shorter than that(25.4±5.8 min) of the patients in the control group(all P<0.05).The LH and FSH levels of the patients in the observation group were significantly lower than those of the patients in the control group, but the E;level of the patients in the observation group was significantly higher(all P<0.05).There was no significant difference in the total incidence of complications(5.0% vs.12.5%) of the patients between the two groups(P>0.05).The normal delivery rate(90.0%) of the patients in the observation group was significantly higher than that(67.5%) of the patients in the control group, and the spontaneous abortion rate(10.0%) of the patients in the observa

关 键 词：不全子宫纵隔 冷刀手术 电切术 治疗效果 术后妊娠 

分 类 号：R713.4[医药卫生—妇产科学]