宫腔镜刨削系统治疗宫腔粘连的临床效果

Clinical effect of intrauterine Bigatti shaver system in the treatment of intrauterine adhesion

目的探讨宫腔镜刨削(IBS)系统治疗宫腔粘连(IUA)的临床效果。方法选取2019年9月至2022年3月于徐州医科大学附属医院妇产科日间病房就诊的190例IUA患者为研究对象,随机将其分为对照组(n=85)和观察组(n=105)。对照组予以环形双极电切手术,观察组使用IBS系统手术。比较两组的手术时间、膨宫液吸收量、术中出血量、术后子宫内膜厚度及宫腔形态、月经改善情况。结果观察组的手术时间短于对照组,膨宫液吸收量少于对照组,术后子宫内膜厚度大于对照组,差异具有统计学意义(P<0.05);两组的术中出血量比较,差异无统计学意义(P>0.05)。观察组的宫腔形态及月经改善总有效率高于对照组,差异具有统计学意义(P<0.05)。结论相较于环形双极电切手术,IBS系统治疗IUA的手术时间更短、膨宫液吸收更少、对宫腔形态及月经的改善情况更优,是一种安全有效的手术方式。

Objective To investigate the clinical effect of intrauterine Bigatti shaver(IBS)system in the treatment of intrauterine adhesion(IUA).Methods A total of 190 patients with IUA who were admitted in the day ward of gynecology and obstetrics department in the Affiliated Hospital of Xuzhou Medical University from September 2019 to March 2022 were selected as the research objects,and randomly divided into control group(n=85)and observation group(n=105).The control group was treated with circular bipolar electrotomy,and the observation group was treated with IBS system.The operation time,uterine fluid absorption,intraoperative blood loss,postoperative endometrial thickness,uterine cavity morphology and menstrual improvement were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,the uterine fluid absorption was less than that of the control group,and the postoperative endometrial thickness was greater than that of the control group,and the differences were statistically significant(P<0.05);there was no significant difference in intraoperative blood loss between the two groups(P>0.05).The total effective rate of uterine cavity morphology and menstrual improvement in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with the circular bipolar electrotomy,the IBS system has shorter operation time,less uterine fluid absorption,and better improvement of uterine cavity morphology and menstruation in the treatment of IUA.It is a safe and effective surgical method.