电超声治疗宫腔粘连患者的临床效果研究  

Clinical curative effect of electro-ultrasound for patients with intrauterine adhesion

作　　者：杨驭涵 顾晓荔 郭琦[1] 张玉雪 YANG Yuhan;GU Xiaoli;GUO Qi;ZHANG Yuxue(Department of Ultrasound Diagnosis,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China;Department of Hysteroscopy,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第五附属医院超声诊断科,河南郑州450052 [2]郑州大学第五附属医院宫腔镜诊疗部,河南郑州4500521

出　　处：《中国现代医生》2025年第6期6-10,共5页China Modern Doctor

基　　金：河南省医学科技攻关计划项目(LHGJ20230407)。

摘　　要：目的 探讨电超声治疗预防中重度宫腔粘连(intrauterine adhesion,IUA)患者宫腔镜下宫腔粘连分离术(transcervical resection of adhesions,TCRA)术后再粘连的效果。方法 选取2022年11月至2023年12月郑州大学第五附属医院收治的105例IUA患者为研究对象。根据术后是否使用电超声治疗,将患者分为对照组(n=56)和电超声组(n=49)。比较两组患者治疗前后的子宫内膜厚度、宫腔容积、容积血流参数及子宫各部位动脉(子宫动脉、内膜下、内膜内)的血流动力学参数,并随访治疗后1年内的妊娠情况。结果 治疗后,两组患者的子宫内膜厚度、宫腔容积、容积血流参数及子宫各部位动脉(子宫动脉、内膜下、内膜内)的血流动力学参数均较同组治疗前有明显改善(P<0.05),且电超声组更为显著(P<0.05);治疗后1年内,电超声组的妊娠率高于对照组(P<0.05)。结论 电超声治疗有助于预防宫腔粘连患者TCRA术后再粘连,对临床疗效的提高具有积极意义。Objective To investigate the effectiveness of electro-ultrasound therapy in preventing postoperative re-adhesion in patients with moderate to severe intrauterine adhesion(IUA)who have undergone transcervical resection of adhesions(TCRA).Methods A total of 105 patients with IUA admitted to the Fifth Affiliated Hospital of Zhengzhou University from November 2022 to December 2023 were selected as the research objects.The subjects were divided into two groups based on whether they received electro-ultrasound therapy postoperatively:Control group(n=56)and electro-ultrasound group(n=49).Pre-and post-treatment conditions of endometrial thickness,uterine cavity volume,volumetric blood flow parameters and hemodynamic parameters of arteries in different parts of the uterus(uterine arteries,sub-endometrium,intra-endometrial)were compared between two groups,The pregnancy status of two groups within one year after the treatment was followed-up.Results After treatment,both groups showed significant improvement in endometrial thickness,uterine cavity volume,volumetric blood flow parameters,and hemodynamic parameters of arteries in different parts of the uterus(uterine arteries,sub-endometrium,intra-endometrial)compared to their pre-treatment values in the same group(P<0.05),with electro-ultrasound group showing more pronounced improvement(P<0.05).Within one year after treatment,the pregnancy rate of electro-ultrasound group was higher than that of control group(P<0.05).Conclusion Electro-ultrasound therapy helps prevent re-adhesion following TCRA in patients with intrauterine adhesions,contributing positively to the improvement of clinical efficacy.

关 键 词：宫腔粘连 电超声 子宫内膜容受性 子宫内膜内血流 子宫内膜下血流 

分 类 号：R454[医药卫生—治疗学] R713.4[医药卫生—临床医学]