于宫腔镜下行“冷刀(微型剪)”梨田式在宫腔粘连临床治疗中的疗效探讨

Discussion on the Clinical Effect of“Cold Knife Miniature Scissors”Litian Type in the Treatment of Intrauterine Adhesion Under Hysteroscopy

目的探讨在宫腔粘连治疗中,宫腔镜下行“冷刀(微型剪)”梨田式疗法的应用价值。方法选取2017年8月至2019年5月昆明安琪儿妇产医院妇科收治的宫腔粘连患者66例,采用电脑随机双盲法分为实验组和对照组,各33例。实验组于宫腔镜下行“冷刀(微型剪)”梨田式治疗,对照组行双极汽化治疗。分析两组疾病复发情况,同时对生活质量与疗效等指标做出对比。结果实验组总有效率为96.97%,高于对照组(75.76%,P<0.05);实验组术后3个月的疾病复发率为6.06%,低于对照组(33.33%,P<0.05)。实验组术后1个月SF-36评分为(90.58±3.21)分、子宫内膜厚度(8.07±1.13)mm,优于对照组的(82.16±3.74)分、(6.56±1.02)mm(P<0.05)。结论选择宫腔镜下行“冷刀(微型剪)”梨田式治疗方案,并将之运用于宫腔粘连中,可取得显著疗效,且能有效预防疾病复发,促进子宫内膜厚度改善,建议临床进行推广。

Objective To explore the value of“cold knife(miniature scissors)”pear field therapy under hysteroscopy in the treatment of intrauterine adhesion.Methods Totally 66 cases of intrauterine adhesion patients admitted to the department of gynaecology,anqier maternity hospital,kunming from August 2017 to May 2019 were selected.The study group received hysteroscopic“cold knife(miniature scissors)”pear field treatment,while the control group received bipolar vaporization treatment.The relapses of the two groups were analyzed,and the indexes of quality of life and efficacy were compared.Results The total effective rate of the study group was 96.97%,higher than that of the control group(75.76%,P<0.05).The recurrence rate was 6.06%in the study group,lower than that in the control group(33.33%,P<0.05).Sf-36 score(90.58±3.21)points and endometrial thickness(8.07±1.13)mm were better in the study group than in the control group(82.16±3.74)points and(6.56±1.02)mm 1 month after the operation(P<0.05).Conclusion The application of“cold knife(miniature scissors)”pear field treatment program under hysteroscopy in the treatment of intrauterine adhesion can achieve significant curative effect,effectively prevent disease recurrence,and promote the improvement of endometrium thickness,it is recommended to promote.