宫腔粘连TCRA治疗中COOK球囊支架放置时间对术后复发及妊娠的影响

Effects of Different COOK Balloon Stent Indwelling Time in TCRA on Postoperative Recurrence and Pregnancy in Patients with Intrauterine Adhesions

目的观察宫腔粘连患者TCRA治疗中COOK球囊支架放置时间对患者术后复发及妊娠的影响。方法将我院妇产科2022年1月至2023年1月被确诊IUA且有妊娠需求的患者60例作为研究对象,随机分为短期组与长期组,每组30例。分别比较两组患者的临床疗效、妊娠与复发情况。结果长期组与短期组患者疗效分别为93.33%、70.00%,长期组显著高于短期组(P<0.05);随访期间,长期组妊娠率及复发率均优于短期组,差异有统计学意义(P<0.05)。结论对于IUA患者,TCRA治疗中COOK球囊支架放置时间延长至1个月比1周疗效更显著,能够提高妊娠率,减少复发风险。

Objective To observe the effects of different COOK balloon stent indwelling time in TCRA on postoperative recurrence and pregnancy in patients with intrauterine adhesions(IUA).Methods From January 2022 to January 2023,60 patients with IUA and needs for pregnancy were admitted to the hospital.They were enrolled in this study and randomly assigned into the short-term group and the long-term group,with 30 cases in each.The two groups were compared on clinical effects,pregnancy,and recurrence.Results The response rate in the long-term group was 93.33%,significantly higher than 70.00%in the short-term group(P<0.05).During the follow-up period,pregnancy rate and recurrence rate in the long-term group were better than those in the short-term group(P<0.05).Conclusion Compared to COOK balloon stent indwelling for 1 week,indwelling for 1 month can achieve more significant therapeutic effect on patients with IUA.Besides,it can improve pregnancy rate and reduce recurrence risk.