宫腔镜下宫腔粘连分离术联合球囊导尿管放置治疗宫腔粘连的临床疗效  

Clinical effect of hysteroscopic intrauterine adhesions separation combined with balloon catheter placement in the treatment of intrauterine adhesions

作　　者：张冬梅[1] 纪琼琼 宋燕妮 ZHANG Dongmei;JI Qiongqiong;SONG Yanni(Department of Obstetrics and Gynecology,Suining County Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu,221200,China)

机构地区：[1]睢宁县中医院妇产科,江苏徐州221200

出　　处：《当代医学》2023年第15期72-75,共4页Contemporary Medicine

摘　　要：目的探讨宫腔镜下宫腔粘连分离术联合球囊导尿管放置治疗宫腔粘连的临床疗效。方法选取2017年1月至2019年12月本院收治的70例宫腔粘连患者作为研究对象,随机分为实验组与对照组,每组35例。对照组采用宫腔镜下宫腔粘连分离术治疗,实验组采用宫腔镜下宫腔粘连分离术联合球囊导尿管放置治疗,比较两组临床疗效、不同时间月经情况、宫腔再粘连率及妊娠率。结果实验组治疗总有效率为97.14%,高于对照组的73.53%,差异有统计学意义(P<0.05)。两组月经量组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、2、3个月,两组月经量均多于术前,且术后2、3个月均多于术后1个月,差异有统计学意义(P<0.05)。组间比较:术后2、3个月,实验组月经量均多于对照组,差异有统计学意义(P<0.05)。实验组宫腔再粘连率为5.71%,低于对照组的25.71%,差异有统计学意义(P<0.05)。实验组妊娠率为77.14%,高于对照组的31.43%,差异有统计学意义(P<0.05)。结论宫腔镜下宫腔粘连分离术联合球囊导尿管放置治疗效果明显,可有效改善患者月经量,降低其粘连率,提高其妊娠率,值得临床推广应用。Objective To investigate the clinical effect of hysteroscopic intrauterine adhesions separation combined with balloon catheter placement in the treatment of intrauterine adhesions.Methods A total of 70 patients with intrauterine adhesions admitted to our hospital from January 2017 to December 2019 were selected as the research subjects,and they were randomly divided into the experimental group and the control group,with 35 cases in each group.The control group was treated with hysteroscopic intrauterine adhesion separation,the experimental group was treated with hysteroscopic intrauterine adhesion separation combined with balloon catheter placement,the clinical efficacy,menstruation at different times,intrauterine re-adhesion rate and pregnancy rate were compared between the two groups.Results The total effective rate in the experimental group was 97.14%,which was higher than 73.53%in the control group,and the difference was statistically significant(P<0.05).There were significant differences of the menstrual volume between two groups of group,time points and interaction(P<0.05).Comparison within group:at 1,2 and 3 months after operation,the menstrual volume of the two groups was more than that before operation,at 2 and 3 months after operation were more than that at 1 month after operation,and the differences were statistically significant(P<0.05).Comparison between groups:at 2 and 3 months after operation,the menstrual volume in the experimental group was more than that in the control group,and the differences were statistically significant(P<0.05).The re-adhesion rate in the experimental group was 5.71%,which was lower than 25.71%in the control group,and the difference was statistically significant(P<0.05).The pregnancy rate in the experimental group was 77.14%,which was higher than 31.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopic intrauterine adhesion separation combined with balloon catheter placement has obvious therapeutic effect,which can effecti

关 键 词：宫腔镜 宫腔粘连分离 球囊导尿管 

分 类 号：R713.4[医药卫生—妇产科学]