研究宫腔镜电切术联合人工周期治疗中重度宫腔粘连的效果

Research effect of hysteroscopic electric resection combined with artificial cycle in the treatment of moderate and severe intrauterine adhesions

目的研究宫腔镜电切术联合人工周期治疗中重度宫腔粘连的临床效果。方法 84例中重度宫腔粘连患者,随机分为对照组和观察组,每组42例。对照组采用宫腔镜电切术治疗,观察组采用宫腔镜电切术联合人工周期治疗。观察比较两组患者各项手术指标,治疗效果以及不良反应发生情况。结果观察组患者术后子宫内膜厚度高于对照组,术中出血量少于对照组,住院天数短于对照组,差异均具有统计学意义(P<0.05)。观察组患者治疗总有效率为90.48%,显著高于对照组的71.43%,差异具有统计学意义(P<0.05)。经过术后6个月的随访,观察组患者的不良反应发生率为11.90%,与对照组的9.52%比较差异无统计学意义(P>0.05)。结论宫腔镜电切术联合人工周期治疗中重度宫腔粘连临床效果良好,安全有效,治疗的总有效率更高,值得临床推广。

Objective To research the clinical effect of hysteroscopic electric resection combined with artificial cycle in the treatment of moderate and severe intrauterine adhesions. Methods A total of 84 patients with moderate and severe intrauterine adhesions were randomly divided into control group and observation group, 42 cases in each group. The control group was treated with hysteroscopic electric resection, the observation group was treated with hysteroscopic electric resection combined with artificial cycle. The operative indicators, therapeutic effects and adverse reactions between the two groups were observed and compared. Results The postoperative endometrium thickness of the observation group was significantly higher than that of control group, the intraoperative blood loss was significantly less than that of the control group, and the length of stay was significantly shorter than that of the control group, the differences were statistically significant（P〈0.05）. The total effective rate of treatment in the observation group was 90.48%, which was significantly higher than 71.43% in the control group, the difference was statistically significant（P〈0.05）. After 6 months of follow-up, the incidence of adverse reactions in the observation group was 11.90%, that in the control group was 9.52%, there was no statistically significant difference（P〉0.05）. Conclusion The clinical effect of hysteroscopic electric resection combined with artificial cycle in the treatment of moderate and severe intrauterine adhesions is better, safe and effective, and the total effective rate of treatment is higher. It is worthy of clinical promotion.