中重度宫腔粘连分离术后2种预防宫腔再粘连方法的比较

Comparison of 2 methods of preventing intrauterine adhesion recurrence after severe intrauterine adhesion separation

目的 :比较中重度宫腔粘连分离术后球囊羊膜与球囊上环两种治疗方法的效果。方法 :2014年1月-2015年1月在我院诊断为中、重度宫腔粘连74例患者。分为对照组:球囊上环组39例,研究组:球囊羊膜组35例。术后1、3个月比较月经改善、宫腔再粘连情况,评价两种治疗方法的总体疗效。结果 :术后1个月、3个月对照组与研究组月经改善有效率比较,差异有统计学意义;术后1个月、3个月对照组与研究组宫腔再粘连比较差异有统计学意义;术后对照组与研究组总体疗效分析差异有统计学意义。结论 :球囊羊膜是一种有效的治疗宫腔粘连方法,羊膜移植可以看着是一个有生物活性机制的隔离装置应用于宫腔粘连的治疗。

Objective To comparison the effect of balloon amniotic membrane and balloon Sheung wan after transcervical resection of severe intrauterine adhesions Methods 74 patients were diagnosed as severe intrauterine adhesions during January 2014 to January 2015 in our hospital. Patients were divided into control group: balloon Sheung Wan Group (39 cases) and study group: balloon amniotic membrane group (35 cases), compared with the condition of menstruation and intrauterine adhesion af-ter 1 and 3 months, the total curative effect of two methods was evaluated after surgery. Results The control group and the study group were compared with the menstrual improvement, the difference was statistically significant after 1 months and 3 months after operation. There was a significant difference in uterine adhesions recurrence of the control group and the study group af-ter 1 months and 3 months. There were significant differences in the overall efficacy of the control group and the study group. Conclusion the amniotic membrane balloon is an effective method for the treatment of intrauterine adhesion, and the amniotic membrane transplantation can be viewed as a mechanism of biological activity in the treatment of intrauterine adhesions.