宫腔镜下宫腔黏连分离术治疗中重度宫腔粘连疗效分析

Analysis of Therapeutic Effect of Hysteroscopic Separation of Uterine Cavity Adhesion in the Treatment of Moderate and Severe Uterine Cavity Adhesion

目的:探究宫腔镜下宫腔黏连分离术在中重度宫腔粘连中的治疗效果和价值。方法:回顾性方式展开此研究,选取2019年3月~2021年7月纳入本院该时段内86例中重度宫腔粘连患者并分组,其中对照组42例接受宫腔镜下机械分离术,观察组44例予以宫腔镜下电切分离术;观察两组围术期指标、临床疗效、术后宫腔形态恢复率、月经周期恢复率以及子宫内膜厚度和体积改善情况及两组术后并发症。结果:观察组患者手术时间、术后住院时间较短,术中出血量较少,两组数据对比,P<0.05。观察组临床疗效高达95.45%,术后宫腔形态恢复率和月经周期恢复率较高,术后并发症发生率仅有4.54%,对照组临床疗效为88.09%,术后并发症为9.52%,两组数据对比,P>0.05。与术前相比,治疗后观察组患者子宫内膜厚度较高,体积较大,数据和对照组相比,P<0.05。结论:治疗中重度宫腔粘连患者,不论是宫腔镜下电切分离术还是机械分离术,均具有较好效果,但宫腔镜下电切分离术出血量少且患者住院时间较短。

Objective:To explore the therapeutic effect and value of hysteroscopic separation of uterine adhesion in the treatment of moderate and severe uterine adhesion.Methods:The study was carried out retrospectively.From March 2019 to July 2021,86 patients with moderate and severe intrauterine adhesions were selected and divided into groups.42 cases in the control group received mechanical separation under hysteroscopy and 44 cases in the observation group received electrical resection and separation under hysteroscopy;The perioperative indexes,clinical efficacy,postoperative recovery rate of uterine cavity morphology,recovery rate of menstrual cycle,improvement of endometrial thickness and volume and postoperative complications of the two groups were observed.Results:The operation time and postoperative hospital stay of the observation group were shorter,and the amount of intraoperative bleeding was less.The data of the two groups were compared(P<0.05).The clinical efficacy of the observation group was as high as 95.45%,the recovery rate of postoperative uterine cavity morphology and menstrual cycle were high,and the incidence of postoperative complications was only 4.54%.The clinical efficacy of the control group was 88.09%,and the postoperative complications were 9.52%,P>0.05.Compared with before operation,the thickness and volume of endometrium in the observation group were greater than those in the control group after treatment.The data of the two groups were compared(P<0.05).Conclusion:For patients with severe uterine cavity separation,the amount of hysteroscopic separation is shorter,but the treatment time of hysteroscopic separation is better.