宫腔镜宫腔粘连分离术治疗宫腔粘连112例

Clinical effect of hysteroscopic transcervical resection of adhesion in the treatment of 112 cases of intrauterine adhesions

目的研究宫腔镜宫腔粘连分离术治疗宫腔黏连的临床疗效。方法选取2015年7月至2016年7月112例宫腔粘连患者,按中国宫腔粘连评分分级标准评分,评估宫腔粘连分级,同时记录手术时间和术中出血量等手术基本情况,行宫腔粘连分离术,对比术前情况和术后3个月的随访情况,分析其临床疗效。结果宫腔粘连轻度19例,中度61例,重度32例;宫腔粘连分离术手术时间为(21.2±5.7)min,术中出血量为(20.5±1.8)ml。结论宫腔粘连以中度最为常见;宫腔粘连分级评分影响宫腔粘连分离术的临床疗效,轻度的有效率最高,中度次之,重度最差;宫腔镜宫腔粘连分离术为治疗宫腔粘连的有效方法。

Objective To study the clinical effect of hysteroscopic transcervical resection of adhesion（ TCRA） in the treatment of intrauterine adhesions. Methods One hundred and twelve patients with intrauterine adhesions from July 2015 to July 2016 were graded according to the grading standard of uterine cavity adhesions in China to evaluate the classification of intrauterine adhesions. The basic clinical data,such as the time of operation and blood loss during operation were recorded. Patients were all given TCRA,the preoperative status and the follow-up of 3 months after operation were compared,and the clinical effects were analyzed. Results The mean time of TCRA was（ 21. 2 ± 5. 7） min and the average intraoperative blood loss was（ 20. 5 ± 1. 8） ml. There were 19 cases of mild intrauterine adhesions,61 cases of moderate intrauterine adhesion and 32 cases of severe intrauterine adhesion. Conclusions The moderate intrauterine adhesions are the most common,and the intrauterine adhesions grading scale affects the clinical curative effect of TCRA. The most effective rate is moderate,the second is moderate and the worst is severe. The hysteroscopic TCRA is an effective method for the treatment of intrauterine adhesions.