羊膜球囊在宫腔粘连分离术后的应用研究

Application of Amniotic Balloon in the Separation of Intrauterine Adhesions

目的分析羊膜球囊在宫腔粘连分离术后的应用研究效果。方法方便选择2017年1月—2018年8月在该院接受治疗的宫腔手术后宫腔粘连患者50例,按照随机原则结合患者意愿将其分为对照组及观察组,每组25例,两组均采取宫腔分离术进行治疗,对照组术后放置普通球囊,观察组术后放置羊膜球囊,分析两组患者应用效果。结果治疗组治疗总有效率96.00%(24/25)显著高于对照组的76.00%(19/25)(χ~2=4.152 8,P<0.05);观察组不良反应发生率稍低于对照组(χ~2=0.166 1,P>0.05);观察组术后3个月子宫内膜厚度(5.63±1.01)mm均显著高于对照组(4.99±1.05)mm(t=2.196 4,P<0.05);观察组治疗后IUA评分(2.65±0.74)分显著低于对照组(3.36±0.85)分(t=3.150 0,P<0.05)。结论羊膜球囊在宫腔粘连分离术后应用效果较好,可显著改善月经情况,缓解术后宫腔粘连情况,值得进一步在临床应用及推广。

Objective To analyze the effect of amniocentesis on the application of intrauterine adhesions.Methods Convenient select a total of 50 patients with intrauterine adhesions underwent uterine surgery in our hospital from January 2017 to August 2018 were randomly divided into the control group and the observation group according to the random principle.Each group consisted of 25 cases,two groups were treated with intrauterine separation.The control group was placed with normal balloon after operation.The observation group was placed with amniotic balloon after operation.The application effect of the two groups was analyzed.Results The total effective rate of treatment in the treatment group was 96.00%(24/25),which was significantly higher than that in the control group 76.00%(19/25)(χ^2=4.152 8,P<0.05).The incidence of adverse reactions in the observation group was slightly lower than that in the control group(χ^2=0.166 1,P>0.05);the endometrial thickness(5.63±1.01)mm of the observation group was significantly higher than that of the control group(4.99±1.05)mm at 3 months after operation(t=2.196 4,P<0.05);The post-IUA score(2.65±0.74)points was significantly lower than that of the control group(3.36±0.85)points(t=3.150 0,P<0.05).Conclusion Amniotic membrane balloon is effective in the treatment of intrauterine adhesions,which can significantly improve menstrual conditions and relieve postoperative intrauterine adhesions.It is worthy of further clinical application and promotion.