宫腔粘连分离术后两种防粘连方法的临床分析

Clinical analysis of two methods of anti adhesion after intrauterine adhesions

目的探讨宫腔粘连分离术后两种防粘连方法的临床效果,为临床提供指导。方法以来我院接受宫腔粘连分离术的90例患者(2010年10月~2016年10月)作为本次研究的观察对象,对90例宫腔粘连分离术患者的临床资料进行回顾性分析,结合术后防粘连使用方法的不同将其分为两组,其中48例患者术后放置宫内节育器(A组),42例患者术后宫内节育器+放置球囊支架(B组),两组宫腔粘连分离术患者均随访3个月,研究对比两组宫腔粘连分离术患者的临床疗效、宫腔恢复情况及月经情况。结果 B组宫腔粘连分离术患者的总有效率为92.86%,显著高于A组(75.00%),差异有统计学意义(P<0.05);B组宫腔粘连分离术患者的再粘连率为11.90%,显著低于A组(37.50%),(P<0.05);B组宫腔粘连分离术患者的月经好转率为85.71%,显著高于A组(62.50%),差异有统计学意义(P<0.05)。结论对宫腔粘连分离术后患者采取球囊支架预防再粘连具有较好的治疗效果。

Objective To explore the clinical effect of two methods of anti adhesion after intrauterine adhesions,and to provide guidance for clinical.Methods90cases of patients with intrauterine adhesions separation in ourhospital from October2010to October2016were selected as the objects.Clinical data of90cases of intrauterineadhesions were retrospectively analyzed.They were divided into two groups according to postoperative adhesion.48patients were placed intrauterine device(A group),and42cases were placed with intrauterine device+implantation ofballoon stent(B group).All the patients with intrauterine adhesions were followed up for3months.The clinical efficacyof patients with intrauterine adhesions separation,recovery of the uterine cavity and menstruation of the tow groupswere compared.Results The total effective rate of B group was92.86%,which was significantly higher than that in Agroup(75.00%)(P<0.05).The adhesion rate of B group was11.90%,which was significantly lower than that in groupA group(37.50%)(P<0.05).The intrauterine adhesions separation rate of menstruation of B group was85.71%,whichwas significantly higher than that of A group(62.50%),(P<0.05).Conclusion It is a good therapeutic effect on thepatients with intrauterine adhesions after balloon angioplasty.