78例宫腔镜诊治宫腔粘连临床分析

目的:研究宫腔粘连的临床特点,评价宫腔镜治疗的疗效,为宫腔粘连有效防治提供依据。方法:回顾分析宜宾市第一人民医院在2007年4月到2009年9月中诊治的78例IUA患者的病历资料。结果:宫腔粘连主要的临床表现是月经改变,占84.62%;清宫术和人流为主的宫腔操作引起的IUA占84.62%,宫腔操作的次数和术前分度并不相关;手术后3个月宫腔镜下疗效评估正常66.24%;Ⅱ度粘连的治愈率明显比Ⅲ-Ⅳ度粘连要高。结论:宫腔镜下TCRA为治疗IUA很有效的方法,但是减少人流以及规范人流的操作才是预防宫腔粘连的根本措施。

Objective：To study the clinical features of intrauterine adhesions,hysteroscopic evaluation of the efficacy of treatment for intrauterine adhesions provide the basis for effective control.Methods：Retrospective analysis of the First People＇s Hospital of Yibin City in April 2007 to mid-2009,9,78 cases of diagnosis and treatment of medical records of patients with IUA.Results：The clinical manifestations of intrauterine adhesions is a major change in the period,accounting for 84.62%;curettage and uterine operation flow caused mainly accounted for 84.62% IUA,intrauterine operation and preoperative dividing the number is not relevant;surgery 3 months after hysteroscopic efficacy evaluation of the normal 66.24%;Ⅱ degree of adhesion than the cure rate of grade Ⅲ-Ⅳ higher adhesion.Conclusion：Hysteroscopic TCRA for the treatment of IUA very effective method,but reduce the flow and regulate the operation of abortion is a fundamental measure for prevention of intrauterine adhesions.