可吸收医用膜在重度宫腔粘连中应用分析.docVIP

可吸收医用膜在重度宫腔粘连中应用分析 　　[摘要] 目的 比较宫内节育器（IUD）与DIKFILMR（迪康）可吸收医用膜在重度宫腔粘连中的治疗效果。 方法 选取2013年10月～2014年10月本院的73例重度宫腔粘连患者作为研究对象，按照患者的意愿分为可吸收膜组（33例）和IUD组（40例）。比较两组的月经改善率、妊娠率，并行宫腔镜检查评估宫腔粘连治疗效果，采用彩超测量每个人工周期的子宫内膜厚度。 结果 可吸收膜组的月经改善率、宫腔恢复率显著高于IUD组，差异有统计学意义（P0.05）。两组第2个人工周期口服黄体酮前子宫内膜厚度较第1个人工周期厚，差异有统计学意义（P0.05）。 结论 可吸收医用膜在重度宫腔粘连中治疗效果优于宫内节育器，大剂量雌激素应用有利于子宫内膜生长。 　　[关键词] 重度宫腔粘连；宫内节育器；可吸收医用膜；宫腔镜下宫腔粘连分离术 　　[中图分类号] R711.74 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0088-04 　　Application analysis of absorbable medical film in severe intrauterine adhesion 　　YU Yan-xiao WANG Bao-jin REN Chen-chen▲ YANG Li REN Rui-fang LU Jing-he SHI Zhong-na 　　Department of Gynaecology and Obstetrics，the Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China 　　[Abstract] Objective To compare the therapeutic effect of intrauterine device （IUD） and DIKFILMR （Dicon） absorbable medical film in the treatment of severe intrauterine adhesion. Methods 73 patients with severe intrauterine adhesions from October 2013 to October 2014 in our hospital were selected and divided into the absorbable medical film group （33 cases） and the IUD group （40 cases） according to the patient′s wishes.The improvement of menstruation and pregnancy was compared.The therapeutic effect of intrauterine adhesion was evaluated by hysteroscopy.The thickness of endometrium in each artificial cycle was measured by color ultrasound. Results The improvement rate of menstruation and the recovery rate of uterine cavity in the absorbable medical film group was higher than that in the IUD group，with significant difference（P0.05）.The thickness of endometrium in the second artificial cycle in two groups was thicker than that in the first cycle，with significant difference（P0.05）. Conclusion The therapeutic effect of absorbable medical film in the treatment of severe intrauterine adhesion is better than that by IUD，and large doses of estrogen is beneficial for endometrial growth. 　　[Key words] Severe intrauterine adhesion；Intrauterine