宫腔镜治疗宫腔粘连64例临床分析.docVIP

宫腔镜治疗宫腔粘连64例临床分析 　　[摘要] 目的 探讨以宫腔镜为主的综合治疗在度宫腔粘连病例中的应用价值。方法 回顾性分析2012年1月―2014年12月该院64例宫腔粘连病例以宫腔镜手术治疗的疗效。结果 64例宫腔镜术后36例恢复正常月经，占56.25%（36/64）；21例月经改善，占32.81%（21/64）；7 例月经无改善或仍闭经，占10.94%（7/64）。结论 宫腔镜对于宫腔粘连的治疗是有效的，尤其是轻中度患者。使用宫腔镜联合超声是手术安全成功的保障，宫腔镜术后宫腔内放置Foley导尿管，术后的雌孕激素周期治疗促进子宫内膜修复、宫腔放置合适的宫内节育器均有利于预防术后宫腔再粘连。 中国论文网 /6/view-7159688.htm 　　[关键词] 宫腔粘连；宫腔镜；宫腔重建 　　[中图分类号] R117 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0098-03 　　Hysteroscopy-based Comprehensive Therapy in the Treatment of Intrauterine Adhesion：An Analysis of 64 Cases 　　ZHANG Lei， CHEN Can-ming， HU Jin-ju 　　Department of Gynecology， Yangzhou Maternal and Child Care Service Centre， Yangzhou， Jiangsu Province， 225000 China 　　[Abstract] Objective To explore on the application value of hysteroscopy-based comprehensive therapy in the treatment of intrauterine adhesion. Methods A retrospective study was made on 64 intrauterine adhesion patients admitted to our hospital from January 2012 to December 2014 who underwent hysteroscopy-based comprehensive therapy to evaluate their therapeutic effects. Results Of all the 64 patients， normal menstruation in 36 patients was reported after the surgery， accounting for 56.25%； menstruation was improved in 21 patients， accounting for 32，81%； 7 patients showed no sign of improvement， accounting for 10.94%. Conclusion Hysteroscopy-based comprehensive therapy is effective in treating patients with intrauterine adhesion， especially for those with mild and moderate intrauterine adhesion. Hysteroscopy combined with ultrasound can safeguard a successful operation， while placement of Foley catheter in uterine cavity， periodic treatment of estrogen and progestogen to promote endometrial repair， placement of suitable intrauterine contraceptive device can all be beneficial for preventing postoperative intrauterine re-adhesions. 　　[Key words] Intrauterine adhesion； Hysteroscopy； Uterus reconstruction 　　宫腔粘连在临床上是妇科常见病种之一，近年来，随着人工流产术的逐年增多尤其无痛人流的增多，宫腔粘连（ Intra-uterine adhesions，IUA）的发病率有明显增加的趋势