宫腔镜联合补佳乐治疗难治性宫内妊娠物残留的疗效观察

Clinical observation of hysteroscope combined with progynova in curing refractory intrauterine pregnancy residues

目的探讨宫腔镜联合补佳乐治疗难治性宫内妊娠物残留的临床疗效。方法将难治性宫内妊娠物残留患者65例按入院先后顺序分为治疗组(35例)和对照组(30例)。治疗组行宫腔镜直视下清除宫内残留妊娠物,对照组行传统的盲视清宫术。观察两组术后治愈率、术中出血量、术后阴道出血时间、月经恢复时间及术后宫腔宫颈管粘连情况。结果两组治疗后五项指标比较差异均有统计学意义(P<0.05或P<0.01)。结论宫腔镜联合补佳乐治疗难治性宫内妊娠物残留效果显著,操作简单,安全,值得临床推广应用。

Objective To probe into the clinical effect of hysteroscope combined with progynova in curing refractory intrauterine pregnancy residues. Methods Thirth-five patients with the refractory intrauterine pregnancy residues in the treatment group were treated by hysteroscope combined with progynova; another 30 patients in the con-trol group were treated by traditional invisible therapy. These two groups were compared from the aspect of their post-operative cure rate, intraoperative blood loss, postoperative vaginal bleeding duration, menstruation recovery and postoperative cervical intrauterine adhesions. Results The disparity in the comparison between two groups is signifi-cant statistically （t9 〈 0. 05 or P 〈 0. 01 ）. The effect of the treatment group was better that of the control group. Con-dusion The therapy of hysteroscopy combined with progynova has notable effect in the cure of refractory intrauterine pregnancy residues, and it is a simple and safe operation, and worthy of the spread in clinical application.