宫腔镜下宫腔粘连分离术后置入球囊+上环+防粘连贴膜的临床效果

Clinical effect of inserting balloon +ring +anti-adhesion membrane after transcervial resection of intrauterine adhesion

目的探讨宫腔镜下宫腔粘连分离术后置入球囊+上环+防粘连贴膜的临床效果。方法选取2018年1~12月我院收治的50例宫腔粘连患者作为研究对象,将其随机分为观察组与对照组,每组各25例。两组均采用宫腔镜下宫腔粘连分离术治疗,对照组术后宫腔置入球囊治疗,观察组术后宫腔置入球囊+上环+防粘连贴膜。比较两组的临床疗效和宫腔形态,统计月经量、月经增多率、月经量少率和闭经率,记录两组的不良反应发生情况。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组的宫腔形态正常率高于对照组,基本正常率、再次粘连率低于对照组,差异有统计学意义(P<0.05)。观察组的月经量多于对照组,月经量增多率高于对照组,月经量少及闭经率低于对照组,差异有统计学意义(P<0.05)。两组患者均未发生感染、发热、子宫穿孔、节育器嵌顿等不良反应。结论宫腔镜下宫腔粘连分离术后置入球囊+上环+防粘连贴膜治疗宫腔粘连,可有效提升手术疗效,恢复宫腔形态,降低再次粘连率,改善月经情况,且安全性较高,具有积极的临床意义。

Objective To investigate the clinical effect of inserting balloon+ring+anti-adhesion membrane after transcervial resection of intrauterine adhesion.Methods A total of 50 cases of patients with intrauterine adhesion admitted to our hospital from January to December 2018 were selected as the study objects,and they were randomly divided into observation group and control group,with 25 cases in each group.Both groups were treated with transcervial resection of intrauterine adhesion,the control group was treated with postoperative intrauterine balloon implantation,and the observation group was treated with inserting balloon+ring+anti-adhesion membrane.The clinical efficacy and uterine cavity morphology of the two groups were compared,the menstrual volume,increased menstrual volume,less menstrual volume and amenorrhea rate were counted,and the occurrence of adverse reactions of the two groups were recorded.Results The total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The normal rate of uterine cavity morphology in the observation group was higher than that in the control group,the basic normal rate and the rate of re-adhesion were lower than those in the control group(P<0.05).The observation group had more menstrual volume than the control group,the increased rate of menstrual volume was higher than the control group,the less menstrual volume and amenorrhea rate were lower than the control group,the differences were statistically significant(P<0.05).No adverse reactions such as infection,fever,uterine perforation,and incarcerated IUD were found in the two groups.Conclusion In the treatment of intrauterine adhesion of inserting balloon+ring+anti-adhesion membrane after transcervial resection of intrauterine adhesion can effectively improve the surgical effect,restore the uterine cavity shape,reduce the rate of re-adhesion,improve the menstrual situation,and has a higher safety,with positive clinical significance.