宫腔镜下宫腔粘连分离术后应用三角形宫腔球囊的疗效观察

Observation of curative effect of triangular uterine balloon for treating patients after hysteroscopic separation of intrauterine adhesions

目的:探讨宫腔镜下粘连分离术后应用三角子宫球囊对宫腔粘连患者月经周期及再粘连发生率的影响。方法:选择2018年8月-2021年8月于本院行宫腔镜下粘连分离术患者120例随机分为两组,均行宫腔镜下粘连分离术,两组术后均常规抗生素及雌孕激素治疗,观察组术后放置三角子宫球囊。对比两组术后3个月后临床疗效、月经周期及再粘连发生率。结果:观察组治疗总有效率为(88.3%)高于对照组(65.0%),月经量(63.9±8.5ml)多于对照组(48.3±6.8ml),月经期(5.9±1.3d)长于对照组(4.9±0.9d),术后宫腔再粘连发生率(16.7%)低于对照组(36.7%)(均P<0.05);两组并发症发生率(10.0%、18.3%)无差异(P>0.05)。结论:宫腔镜下粘连分离术后放置三角子宫球囊能够提高宫腔粘连患者治疗疗效,改善月经周期,降低术后宫腔再粘连发生率,且安全性高。

Objective: To investigate the influence of triangular uterine balloon for treating patients with intrauterine adhesions after hysteroscopic separation of intrauterine adhesions on the menstrual cycle and the incidence of re-adhesion of these patients. Methods: From August 2018 to August 2021, 120 patients who had accepted hysteroscopic adhesion dissection of intrauterine adhesions and routine antibiotics combined with estrogen and progesterone therapy after operation were selected and were randomly divided into two groups. The patients in the study group were also given triangular uterine balloon additionally. The therapeutic efficacy, the menstrual cycle, and the incidence of re-adhesion of the patients in 3 months after operation were compared between the two groups. Results: The total effective rate(88.3%) of the patients in the study group was significantly higher than that(65.0%) of the patients in the control group, the menstrual volume(63.9±8.5ml) of the patients in the study group was significantly more than that(48.3±6.8ml) of the patients in the control group, and the menstrual period(5.9±1.3d) of the patients in the study group was significantly longer than that(4.9±0.9d) of the patients in the control group. The incidence of postoperative uterine re-adhesion(16.7%) of the patients in the study group was significantly lower than that(36.7%) of the patients in the control group(all P<0.05). There was no significant difference in the incidence of complications(10.0% vs. 18.3%) of the patients between the two groups(P>0.05). Conclusion: Hysteroscopic adhesion separation combined with triangular uterine balloon for treating the patients with intrauterine adhesions can increase their therapeutic effect, improve their menstrual cycle, reduce the incidence of their postoperative intrauterine re-adhesions, with higher safety.