宫腔镜手术治疗宫腔粘连的有效性

The Effectiveness of Hysteroscopic Surgery for Uterine Cavity Adhesion

目的研究宫腔粘连采用宫腔镜手术治疗的有效性。方法选择60例宫腔粘连确诊病患,按照治疗方案均分两组,对照组30例采用保守药物治疗,观察组30例采用宫腔镜手术联合药物治疗,比较两组患者治疗前后子宫内膜厚度变化、宫腔粘连临床症状治疗效果以及治疗前后子宫内膜血流参数变化。结果对照组治疗后子宫内膜厚度升至(5.29±0.67)mm,观察组升至(6.79±0.42)mm;对照组总有效率为83.33%,观察组总有效率为100%;观察组子宫内膜血流参数中阻力指数与搏动指数下降程度均明显大于对照组。结论宫腔镜手术配合药物服用方式治疗宫腔粘连对于月经、疼痛及粘连的治疗效果明显优于单纯药物服用方式,患者子宫内膜恢复效果更佳。

Objective To study the effectiveness of hysteroscopic surgery for uterine adhesions.Methods Select 60 cases caused by intrauterine adhesions confirmed patients,according to the split in the two groups,treatment group 30 cases with conservative therapy,observation group of 30 cases with hysteroscopy surgery with drug therapy,compared two groups of patients with endometrial thickness changes before and after the treatment,clinical symptoms caused by intrauterine adhesions treatment effect and endometrial blood flow parameters change before and after treatment.Results Endometrial thickness increased to(5.29±0.67)mm in the control group and(6.79±0.42)mm in the observation group.The total effective rate was 83.33%in the control group and 100%in the observation group.The decrease degree of resistance index and pulse index in endometrial blood flow parameters in the observation group was significantly greater than that in the control group.Conclusion Hysteroscopic surgery combined with drug administration for treatment of uterine adhesions has a significantly better therapeutic effect on menstruation,pain and adhesions than drug administration alone,and the endometrial recovery of patients is better.