三种方式预防宫腔粘连分离术后再粘连效果分析

The Effect of Three Ways to Prevent Re-Adhesion after Transcervical Resection of Adhesion

目的:分析三种方式预防宫腔粘连分离术后再粘连的效果。方法:将63例宫腔粘连患者随机分为A组、B组、C组各21例,均行宫腔粘连分离术后,A组给予放置宫内节育器,B组实施球囊预防,C组则给予宫内节育器+球囊+外科防粘连液综合治疗,比较三组宫腔再粘连的预防效果。结果:C组再次粘连率、妊娠率、月经量、子宫内膜恢复时间均显著优于A组、B组(P<0.05);A组、B组比较则无显著性差异(P>0.05)。结论:宫腔粘连患者行宫腔粘连分离术后给予宫内节育器+球囊+外科防粘连液综合治疗其预防再粘连的效果显著。

Objective： To analyze the effect of three ways to prevent re-adhesion after transcervical resection of adhesion. Methods： 63 cases of intrauterine adhesious patients who received transcervical resection of adhesion were randomly divided into group A（21 cases）, group B（21 cases） and group C（21 cases）, group A used intrauterine device, group B used catheter balloon and group C received intrauterine device ＋ catheter balloon ＋ anti-adhesion solution comprehensive prevention, and compared their prevention effect for re-adhesion. Results： The re-adhesion rate, pregnancy rate,menstrual volume and recovery time of endometrium of group C were significantly better than those of group A and B（P〈0.05）, and there was no significant difference between group A and B（P〈0.05）. Conclusion： Intrauterine device ＋ catheter balloon ＋ anti-adhesion solution comprehensive treatment for intrauterine adhesious patients after transcervical resection of adhesion has a significant curative effect on preventing re-adhesion.