宫腔粘连综合治疗临床疗效剖析.docVIP

宫腔粘连综合治疗临床疗效剖析 　　[摘要] 目的 探析宫腔粘连综合治疗临床疗效。方法 方便选取2015年1月―2016年12月该科收治并有完整的病史资料的宫腔粘连患者78例，随机分为手术治疗对照组和综合治疗观察组，分别采用相应的治疗手段，并随访3个月，评估治疗效果，指导备孕，记录妊娠情况。结果 观察组治疗总有效为92.3%，显著高于对照组的69.2%，差异有统计学意义（P0.05）；截至最后1例患者3个月随访结束，观察组成功妊娠率为48.7%，显著高于对照组的25.6%，差异有统计学意义（P0.05）；观察组足月分娩率为33.3%，?@著高于对照组的12.8%，差异有统计学意义（P0.05）。结论 综合治疗模式临床治疗有效率较高，术后患者子宫内膜恢复良好，妊娠成功率高，且无不良反应发生，是一种安全有效的宫腔粘连治疗方式。 　　[关键词] 宫腔粘连；综合治疗；宫腔粘连分离术 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0039-03 　　[Abstract] Objective To study the clinical curative effect of comprehensive treatment of intrauterine adhesion. Methods 78 cases of intrauterine adhesion patients with complete disease history from January 2015 to December 2016 were convenient selected and randomly divided into two groups， and the control group and the comprehensive treatment observation group were followed up for 3 months， and the treatment effect was evaluated for guiding pregnancy preparation and the pregnancy situation was recorded. Results The total effective rate in the observation group was obviously higher than that in the control group （92.3% vs 69.2%）， and the difference was statistically significant（P0.05）， and the successful pregnancy rate in the observation group was obviously higher than that in the control group as of the end of 3-month follow-up， （48.7% vs 25.6%）， and the difference was statistically significant（P0.05）， and the full-term delivery rate in the observation group was higher than that in the control group （33.3% vs 12.8%）， and the difference was statistically significant（P0.05）. Conclusion The clinical effective rate of comprehensive treatment is high， and the recovery of endometriuma of patients after surgery is good with high successful pregnancy and without adverse reactions， and it is a safe and effective treatment method of intrauterine adhesion. 　　[Key words] Intrauterine adhesion； Comprehensive treatment； Hysteroscopic adhesiolysis 　　宫腔粘连（IUA）主要宫腔操作、手术炎症、放射以及化学药物等原因导致子宫内膜受损引起，多见于有不良孕产史和人流产史的患者中[1]，以反复性流产、不孕、月经量减少及