宫腔镜下宫腔粘连分离术后综合治疗的临床应用研究

Clinical application study on multimodality therapy after the transcervical resection of uterine adhesion

目的:评价宫腔粘连分离术后综合治疗措施的疗效及其临床应用研究。方法:将确诊为宫腔粘连的患者102例,行宫腔镜粘连分离术后分为A、B、C3组:A组(IUD组)、B组(球囊+IUD组)、C组(球囊+IUD+定期宫腔镜检查组),随访术后3个月宫腔镜检查结果及月经恢复情况,评价3种综合治疗方法临床疗效。结果:C组宫腔形态恢复优于A、B组(0.05),月经情况改善也优于A、B组(0.05)。结论:宫腔镜下粘连分离术后综合治疗措施(球囊导管、医用几丁糖、节育器、口服雌孕激素、定期宫腔镜检查)恢复宫腔形态,防止再粘连,改善月经情况效果显著。

Objective：To evaluate the effect of multimodality therapy after the transcervical resection of uterine adhesion,and to study the clinical practice on the therapy. Methods：The 102 patients was diagnosed with uterine adhesion were divided into A、B、C、three groups：group A （IUD）,group B（IUD＋balloon urinary catheter）,group C （IUD＋balloon urinary catheter＋hysteroscopy at regular intervals）.All the patients were followed by the hysteroscopy and menstrual recovery at three months after operation.We search the clinical practice of the optimal multimodality therapy.Results：The recover of uterine cavity form in group C was superior to group A and B （ P〈0.05）,and the improvement of menstrual situation in group C was superior to others（ P〈0.05）.Conclusions：The multimodality therapy composed by aballoon urinary catheter、Medical Chitosan、IUD、regular hysteroscopy、estrogen and progesterone after the transcervical resection of uterine adhesion can recover the uterine cavity form、prevent the recurrence of adhesion and improve the menstrual situation effectively.