球囊支撑与宫内节育器预防再次宫腔粘连效果的对比

A comparison of the efficacy of the intrauterine device and intrauterine balloon in preventing adhesion recurrence

目的:探讨宫腔镜下宫腔粘连分离术后放置球囊支撑和宫内节育器在预防宫腔粘连再次发生中的疗效对比。方法:选择2016年1月至2016年12月武汉大学人民医院东院区妇科收治的61例(中度37例、重度24例)在宫腔镜下诊断为宫腔粘连并成功行宫腔粘连分离术的患者为研究对象,将其分为两组,分别为放置宫内节育器(intrauterine device)组和球囊支架组,术后均给予戊酸雌二醇辅助治疗。比较两组患者术后再次发生宫腔粘连的情况。结果:中度宫腔粘连的患者,两组差异具有统计学意义(P<0.05);重度宫腔粘连患者,两组差异无统计学意义(P>0.05)。结论:中度宫腔粘连患者术后放置球囊组与术后放置节育器组相比,再粘连发生率相对较低,效果相对更好。同时,两组重度宫腔粘连患者比较,差异甚微,效果欠佳。

Objective： To compare the efficacy of circular-shaped intrauterine device and intrauterine balloon in the prevention of adhesion recurrence after transcervical resection of adhesion. Methods： A total of 61 patients diagnosed intrauterine adhesion and underwent transcervical resection from January 2016 to December 2016 in Renmin Hospital of Wuhan University were retrospectively studied. They were divided into two groups and were randomized to have either an intrauterine balloon or an intrauterine device. All patients were performed with artificial cycle. The efficacy in the prevention of adhesion recurrence of the two methods were compared. Results： The adhesion recurrence rate of the two groups in moderate intrauterine adhesion was significantly different,but that in the severe intrauterine adhesion was not. Conclusions： Intrauterine balloon,comparing to intrauterine device,has a better efficacy in the prevention of adhesion recurrence in mediate intrauterine adhesion,but in the severe intrauterine adhesion,intrauterine device and balloon have the similar poor efficacy.