宫腔镜下手术治疗宫腔粘连的临床疗效及相关危险因素分析

Clinical efficacy and risk factors of hysteroscopic surgery for intrauterine adhesions

目的:探讨宫腔镜下手术治疗宫腔粘连的效果,分析引起宫腔粘连的相关危险因素。方法:90例流产患者中宫腔未粘连者43例,宫腔粘连者47例,宫腔粘连实施宫腔镜下手术治疗。采用问卷调查的方式收集宫颈粘连危险因素资料,并进行分析。结果:宫腔轻度粘连的治疗总有效率为100%,中度粘连的治疗总有效率为87.5%,重度粘连的治疗总有效率为76.9%;采用单因素与多因素分析揭示,引起宫腔粘连的危险因素主要是吸宫时间、吸宫时的负压。结论:吸宫时间及吸宫时负压是引起宫腔粘连的主要危险因素,宫腔粘连采用宫腔镜下手术治疗,可获得较好的临床疗效。

Objective:To investigate the effect of hysteroscopy in the treatment of intrauterine adhesions,and to analyze the related risk factors of intrauterine adhesions.Methods:Among 90 cases of abortion patients,43 cases had no intrauterine adhesions,47 cases had intrauterine adhesions.Hysteroscopy was used to treat intrauterine adhesions.The risk factors of intrauterine adhesions were collected and analyzed by questionnaires.Results:The total effective rate of mild,moderate and severe intrauterine adhesions was 100%,87.5%and 76.9%,respectively.Single factor and multifactor analysis revealed that the main risk factors of intrauterine adhesions were the duration of uterine aspiration and the negative pressure during uterine aspiration.Conclusion:Suction time and negative pressure are the main risk factors for intrauterine adhesions.Hysteroscopy can be used to treat intrauterine adhesions,which can obtain better clinical efficacy.