探讨宫腔镜手术治疗宫腔粘连的临床效果.docVIP

探讨宫腔镜手术治疗宫腔粘连的临床效果 五常市人民医院150200 目的探讨并分析宫腔镜手术治疗宫腔粘连(IUA)的临床效果观察。方 法:此次研究的对象是选择2013年4月至2015年2月采用宫腔镜手术治疗的宫 腔粘连患者58例，将其临床资料进行回顾性分析。结果治疗后治愈28例患者， 治疗有效18例，治疗有效率79.31% (46/58)；治疗后月经恢复正常为29例， 月经有明显改善为16例；治疗后宫腔形成正常为28例，宫腔基木形成为18例； 且治疗后轻度患者的月经恢复、宫腔形成、并发症情况以及治愈率均优于中度、 重度患者，差异显著(Pt;0.05)；治疗后出现5例并发症，对症治疗后均痊愈 出院。结论宫腔镜手术在宫腔粘连患者治疗中有很好的疗效，能促进患者月经 恢复和宫腔的形成，且在轻度粘连患者中治疗效果尤为明显，值得临床研究推广。 关键词宫腔镜；宫腔粘连；治疗效果 [Abstract] Objective To investigate and an a lyze the clinical effect of hysteroscopy in the treatme nt of intrauteri neadhesi on (IUA)? Methods the study was c on ducted from April 2013 to February 2015, 58 cases of intrauterine adhesions were treated by hysteroscopy, and the clinical data were retrospectively analyzed.Results healing in 28 patients after treatment, effective in 18 cases, and the effective rate was 79.31% when； treatment after menstruation returned to normal in 29 cases, menstruation was significantly improved in 16 cases； treatment of intrauterine form normal 28 cases, uterine cavity basically formed in 18 cases； and after treatment in patients with mild recovery of menstruation, uterine cavity formed, complications and cure rate were better than the moderate and severe patients, the difference was significant (P lt; 0.05)； five cases of complications after treatment, symptomatic treatment were cured and discharged.Conclusion Hysteroscopy surgery in the treatment of patients with intrauterine adhesions has good curative effect, can promote menstrual recovery and uterine cavity formation, and in patients with mild adhesion treatment effect is particularly evident, it is worth spreading in clinical. [Key words] hysteroscopy； intrauterine adhesions； therapeutic effect 宫腔粘连（IUA）是常见的妇科疾病之一，其发病原因为宫腔炎症、 刮宫等导致患者的子宫内膜受到损伤，从而引发的子宫局部粘连，其临床症状表 现为闭经、剧烈腹痛、月经量少，其至不孕等情况，严重影响患者正常的生活质 量⑴。本研究回顾性分析了我院采用宫腔镜手术治疗的58例IUA患者，以研究 其治疗效果，从而为提高IUA的治疗水平提供依据，分析如下。 1资料与方法 1.1临床资料 选取我院2013年4月至2015年2月采用宫腔镜手术治疗的IUA患者 58例，患者年龄20?44岁，平均年龄为（29.85plusmn;5.8）岁，患者病史 术前刮宫史28例（其中19例孕期引产或者分娩后清宫术患者，9例负压吸宫术 患者），曾