宫腔镜诊治200例宫腔粘连临床分析.docVIP

宫腔镜诊治200例宫腔粘连临床分析 　　[摘要] 目的 探讨宫腔粘连在临床上的主要症状及性质，分析使用宫腔镜对宫腔粘连的治疗效果。 方法 以回顾性的方法研究该院2013年3月―2015年3月收治的宫腔粘连患者200例临床资料分析研究患者的月经变化，月经改变的人数，清宫手术和人流手术所诱发的IUA比例，手术3个月之后宫腔治疗效果比例等。结果 现阶段临床上对于宫腔粘连的表现形式是月经的变化，研究显示月经出现改变的人数有168人，占总人数的84%；而清宫术以及人流为主宫腔操作所诱发的IUA占据总人数的84%，另外宫腔操作的次数与手术之前分度并没有任何的关系。 结论 宫腔镜下实施TCRA对IUA实施治其治疗效果显著，不过降低人流和规范人流的操作方为有效预防宫腔粘连的基本方法。 　　[关键词] 宫腔粘连；宫腔镜；生理 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）01（b）-0049-02 　　Clinical Analysis of Hysteroscope in the Treatment and Diagnosis of 200 Cases with Intrauterine Adhesious 　　HAN Pei-yin 　　Dezhou maternal and child care service centre， Dezhou， Shandong Province， 253000 China 　　[Abstract] Objective To study the main symptoms and properties of intrauterine adhesious in clinic and analyze the treatment effect of intrauterine adhesious by the application of hysteroscope. Methods The clinical data of 200 cases of patients with intrauterine adhesious treated in our hospital from March 2013 to March 2015 were retrospectively analyzed， menstrual changes， numbers of menstrual changes， IUA ratio induced by uterine curettage and operative abortion and the ratio of uterine cavity treatment effect of patients three months later after operation were analyzed and researched. Results The pattern of manifestation of intrauterine adhesious was menstrual changes in clinic at the present stage ， the research showed that the number of menstrual changes was 168， accounting for 84% in the total number， IUA ratio induced by uterine curettage and operative abortion was 84%， in addition， the time of intrauterine operation had nothing to do with preoperative division. Conclusion The implementation of TCRA under hysteroscopy in treatment of IUA has an obvious treatment effect， however， the operation of reducing and regulating abortion can be a basic method of the prevention of intrauterine adhesious effectively. 　　[Key words] Intrauterine adhesious； Hysteroscope； Physiology 　　妇女月经出现异常其可能原因是宫腔粘连，宫腔年龄可能使妇女从精量的不断降低而最终减少至闭经，同时可能诱发妇女不孕。当前宫腔镜的