宫腔镜松解术+芬吗通在重度宫腔粘连患者中的应用效果及对子宫内膜的影响  

The application effect of hysteroscopic release surgery combined with Fenmatong in patients with severe intrauterine adhesions and its impact on the endometrium

作　　者：李春梅 Li Chunmei(Department of Gynecology,Lixian People's Hospital,Changde 415500,China)

机构地区：[1]澧县人民医院妇科,湖南常德415500

出　　处：《实用妇科内分泌电子杂志》2024年第7期68-70,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探究宫腔镜松解术+芬吗通在重度宫腔粘连患者中的应用效果及对子宫内膜的影响。方法 选取在本院行宫腔松解术的84例重度宫腔粘连患者为研究对象,按照随机数字表法分为两组,各42例。对照组术后予以补佳乐治疗,观察组术后予以芬吗通治疗,比较两组的子宫内膜厚度、经期恢复情况以及不良反应发生情况。结果 用药前,两组子宫内膜厚度比较差异无统计学意义(P>0.05)。用药后15 d和1个月、2个月,观察组子宫内膜厚度厚于对照组(P<0.05)。用药后,观察组月经量多于对照组,行经时间长于对照组(P<0.05)。两组药物不良反应发生率比较差异无统计学意义(P>0.05)。结论 宫腔镜松解术+芬吗通方案能够加快重度宫腔粘连患者术后子宫内膜修复,改善患者的经期状况,并保障用药安全性,值得临床借鉴和推广。Objective To explore the application effect of hysteroscopic release surgery combined with Fenmatong in patients with severe intrauterine adhesions and its impact on the endometrium.Methods 84 patients with severe intrauterine adhesions who underwent intrauterine release surgery in our hospital were selected as the study subjects.They were randomly divided into two groups using a random number table method,with 42 cases in each group.The control group received postoperative treatment with Bu Jia Le,while the observation group received postoperative treatment with Fenmatong.The endometrial thickness,menstrual rec overy,and medication safety of the two groups were compared.Results Before medication,there was no statistically significant difference in endometrial thickness between the two groups(P>0.05).After 15 days and 1 and 2 months of medication,the thickness of the endometrium in the observation group was thicker than that in the control group(P<o.05).After medication,the observation group had more menstrual flow than the control group,and the menstrual cycle time was longer than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups of drugs(P>0.05).Conclusion Hysteroscopic release surgery combined with Fenmatong regimen can accelerate postoperative endometrial repair in patients with severe intrauterine adhesions,improve their menstrual condition,and ensure medication safety.It is worth clinical reference and promotion.

关 键 词：重度宫腔粘连 宫腔镜松解术 芬吗通 子宫内膜 

分 类 号：R713.4[医药卫生—妇产科学]