宫腔镜诊治子宫粘连的临床疗效观察

目的探讨宫腔镜在诊断和治疗子宫粘连中的作用。方法回顾性分析2011年3月-2013年1月收治的42例宫腔粘连患者官腔镜诊治情况。结果术后4～6个月随访，42例宫颈官腔粘连患者中，39例在第1次官腔镜下分离完成，成功率928％。术后月经恢复正常34例（809％），月经偏少7例（167％），1例（24％）术后1年月经仍未恢复；官腔镜分离子宫粘连患者，就诊时间越早，治愈率越高。结论官腔镜诊治子宫粘连简单安全，准确可靠。

Objective To discuss the clinical value of intrauterine adhesions treated by hysteroscopy. Methods 42 patients with intrauterine adhesions diagnosed and treated by hysteroscopy between March 2011 to January 2013 were retrospectively analyzed. Results 4-6 months later after hysteroscopic operations follow-up, 42 cases of patients with intrauterine adhesion, 39 cases were completely separated in the first hysteroscopie, the successfully rate was 92.8%. 34 cases recovery normal menstruation after operation （80.9%）, 7 cases（16.7%） menstruation were less than normal, 1 case （2.4%） menstruation had not yet recovered in 1 year after operation; The time from symptom to microscopic examination is shorter, the cure rate was much more higher. Conclusion Hysteroseopy is the preferred method for the diagnosis and treatment of uterine adhesions.