宫腔镜下宫腔粘连分离术后COOK球囊联合雌孕激素预防宫腔再次粘连的临床疗效  

Clinical efficacy of COOK balloon combined with estrogen and progesterone in preventing recurrent intrauterine adhesions after hysteroscopie separation of intrauterine adhesions

作　　者：蒋格林 Jiang Gelin(Department of Gynecology,Tianhe District Maternal and Child Health Hospital,Guangzhou 510620,China)

机构地区：[1]广州市天河区妇幼保健院妇科,广东广州510620

出　　处：《实用妇科内分泌电子杂志》2024年第13期18-20,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨宫腔镜下宫腔粘连分离术后COOK球囊联合雌孕激素预防宫腔再次粘连的临床疗效。方法 选取42例宫腔粘连分离术后患者为研究对象,随机分为两组,各21例,对照组实施雌孕激素干预,试验组实施COOK球囊联合雌孕激素干预,比较两组的干预效果。结果 试验组治疗总有效率为100%,高于对照组的80.95%;治疗后,试验组美国生育协会标准评分低于对照组,社会功能、躯体质量、角色功能、情绪功能评分高于对照组(P<0.05);试验组妊娠率高于对照组,复发率低于对照组(P<0.05)。结论 宫腔镜下宫腔粘连分离术后接受COOK球囊联合雌孕激素干预,能够有效提升疾病治疗效果,可推广使用。Objective To explore the clinical efficacy of COOK balloon combined with estrogen and progesterone in preventing recurrent intrauterine adhesions after hysteroscopic separation of adhesions.Methods 42 patients who underwent uterine adhesions separation surgery were selected as the study subjects and randomly divided into two groups,with 21 cases in each group.The control group received estrogen and progesterone intervention,while the experimental group received COOK balloon combined with estrogen and progesterone intervention.Results The intervention effects of the two groups were compared.The total effective rate of the experimental group was 100%,higher than 80.95% of the control group;After treatment,the standard score of the American reproductive association in the experimental group was lower than that of the control group,while the scores of social function,physical quality,role function,and emotional function were higher than those of the control group(P<0.05);The pregnancy rate in the experimental group was higher than that in the control group,and the recurrence rate was lower than that in the control group(P<0.05).Conclusion After hysteroscopic separation of intrauterine adhesions,COOK balloon combined with estrogen and proge sterone intervention can effectively improve the tre atment effect of the disease and can be promoted for use.

关 键 词：宫腔镜下宫腔粘连分离术 COOK球囊 雌孕激素 宫腔再次粘连 疗效 

分 类 号：R71[医药卫生—妇产科学]