宫腔粘连分离术后两种防粘连方法临床分析.docVIP

宫腔粘连分离术后两种防粘连方法临床分析 　　[摘要] 目的 探讨宫腔粘连分离术后两种防粘连方法的临床效果，为临床提供指导。 方法 以来我院接受宫腔粘连分离术的90例患者（2010年10月～2016年10月）作为本次研究的观察对象，对90例宫腔粘连分离术患者的临床资料进行回顾性分析，结合术后防粘连使用方法的不同将其分为两组，其中48例患者术后放置宫内节育器（A组），42例患者术后宫内节育器+放置球囊支架（B组），两组宫腔粘连分离术患者均随访3个月，研究对比两组宫腔粘连分离术患者的临床疗效、宫腔恢复情况及月经情况。 结果 B组宫腔粘连分离术患者的总有效率为92.86%，显著高于A组（75.00%），差异有统计学意义（P0.05）；B组宫腔粘连分离术患者的再粘连率为11.90%，显著低于A组（37.50%），（P0.05）；B组宫腔粘连分离术患者的月经好转率为85.71%，显著高于A组（62.50%），差异有统计学意义（P0.05）。 结论 对宫腔粘连分离术后患者采取球囊支架预防再粘连具有较好的治疗效果。 　　[关键词] 宫腔粘连分离术；防粘连；宫内节育器；球囊支架；效果 　　[中图分类号] R713 [文献标识码] A [文章编号] 2095-0616（2017）14-86-04 　　Clinical analysis of two methods of anti adhesion after intrauterine adhesions 　　ZHOU Liye HUA Haihong 　　Department of Obstetrics and Gynecology，Changan Hospital，Dongguan 523843，China 　　[Abstract] Objective To explore the clinical effect of two methods of anti adhesion after intrauterine adhesions， and to provide guidance for clinical. Methods 90 cases of patients with intrauterine adhesions separation in our hospital from October 2010 to October 2016 were selected as the objects.Clinical data of 90 cases of intrauterine adhesions were retrospectively analyzed.They were divided into two groups according to postoperative adhesion.48 patients were placed intrauterine device （A group），and 42 cases were placed with intrauterine device+implantation of balloon stent （B group）.All the patients with intrauterine adhesions were followed up for 3 months.The clinical efficacy of patients with intrauterine adhesions separation，recovery of the uterine cavity and menstruation of the tow groups were compared. Results The total effective rate of B group was 92.86%，which was significantly higher than that in A group （75.00%） （P0.05）.The adhesion rate of B group was 11.90%，which was significantly lower than that in group A group （37.50%）（P0.05）.The intrauterine adhesions separation rate of menstruation of B group was 85.71%，which was significantly higher than that of A group （62.50%），（P0.05）. Conclusion It is a good therapeutic effect on