一次性导尿管球囊支架预防宫腔粘连术后再复发的研究  

Study on the Prevention of Recurrence after Intrauterine Adhesions by Disposable Catheter Balloon Stent

作　　者：曹婧 陈广玲 李衍菊 王晗钰 徐文超 贾慧苏 闫妍 CAO Jing;CHEN Guangling;LI Yanju;WANG Hanyu;XU Wenchao;JIA Huisu;YAN Yan(Department of Gynecology,Mudanjiang Maternal and Child Health Hospital,Mudanjiang157000,Heilongjiang,China)

机构地区：[1]牡丹江市妇幼保健院妇科,黑龙江牡丹江157000

出　　处：《世界复合医学(中英文)》2024年第10期86-89,共4页World Journal of Complex Medicine

基　　金：2022年度黑龙江省卫生健康委科技计划(20220505011166)。

摘　　要：目的 探讨一次性导尿管球囊支架对预防宫腔粘连术后再复发的临床疗效。方法 选取2022年1月—2023年12月牡丹江市妇幼保健院收治的因宫腔粘连行宫腔镜下宫腔粘连切开术(transcervical resection of adhesions,TCRA)的120例患者为研究对象,根据不同的治疗方式分为研究组、对照组,各60例。两组均采用TCRA,研究组术后宫内置入一次性导尿管球囊支架,对照组术后宫内放置节育环。两组术后均采用雌-孕激素序贯疗法。比较两组患者宫腔镜术后3个月的临床疗效、月经量、宫腔粘连情况及术后6个月的复发率。结果 术后3个月,研究组治疗总有效率为93.33%(56/60),高于对照组的80.00%(48/60),差异有统计学意义(χ^(2)=4.615,P=0.032)。术后3个月,研究组月经量高于对照组,差异有统计学意义(P<0.05)。研究组术后3个月的粘连范围评分、粘连类型评分及术后6个月复发率均低于对照组,差异有统计学意义(P均<0.05)。结论 相较于TCRA后宫内放置节育环,一次性导尿管可发挥球囊支架作用,能更好地改善患者月经情况,减轻宫腔粘连程度,降低宫腔粘连复发率,具有良好的临床应用价值。Objective To investigate the clinical efficacy of disposable catheter balloon stent in preventing recurrence after intrauterine adhesions.Methods A total of 120 patients with transcervical resection of adhesions(TCRA) due to intrauterine adhesions admitted to Mudanjiang Maternal and Child Health Hospital from January 2022 to December 2023 were selected.According to different treatment methods,they were divided into study group and control group,with 60 cases in each group.TCRA was performed in both groups.In the study group,a disposable catheter balloon stent was placed in the uterus after operation,and the intrauterine device was placed in the uterus after operation in the control group.Both groups were treated with estrogenprogesterone sequential therapy after operation.The clinical efficacy,menstrual volume,degree of intrauterine adhesions and recurrence rate at 6 months after operation were compared between the two groups.Results At 3months after operation,the total effective rate of treatment in the study group was 93.33%(56/60),which was higher than 80.00%(48/60) in the control group,and the difference was statistically significant(χ~2=4.615,P=0.032).At 3 mouths after operation,the menstrual volume of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The adhesion range score,adhesion type score at 3 months after operation and recurrence rate at 6 months after operation in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion Compared with intrauterine device after TCRA,disposable catheter can play the role of balloon stent,which can better improve the menstruation of patients,reduce the degree of intrauterine adhesions,and reduce the recurrence rate of intrauterine adhesions.It has good clinical application value.

关 键 词：一次性导尿管 宫腔镜 宫腔粘连 复发 

分 类 号：R4[医药卫生—临床医学]