论文部分内容阅读
目的:探究宫腔粘连分离术后宫腔内置入包裹生物防粘连膜的宫内节育器(intrauterine device,IUD)与防粘连膜预防粘连复发的疗效。方法:回顾性分析2015年7月至2016年7月重庆医科大学附属第一医院经宫腔镜检查诊断为中重度IUA患者120例,于宫腔镜粘连分离术后被随机分为A组(包裹生物防粘连膜的金属圆形IUD被置入宫腔)70例,B组(生物防粘连膜被置入宫腔)50例。对照2组患者术后的再粘连形成、月经量的变化、宫腔解剖构造恢复、妊娠情况。结果:术后A组宫腔再粘连发生率(37.1%)明显低于B组再粘连发生率(56.0%),P=0.041;A、B组妊娠率分别为22.9%、22.0%(P=0.912);A、B组月经量治疗有效率(治愈率+改善率)分别为72.9%、62.0%(P=0.523);A、B组宫腔形态恢复有效率(治愈率+改善率)分别为100%、98%(P=0.554)。结论:术后宫腔内留置金属圆形IUD+生物防粘连膜防止粘连复发的效果明显优于单纯放置防粘连膜,而对于改善月经、恢复宫腔解剖结构及妊娠,2种方法均可。
Objective: To investigate the efficacy of intrauterine device (IUD) and anti-adhesion membrane in preventing intrauterine adhesions recurrence after uterine cavity occlusion. Methods: A retrospective analysis of 120 cases diagnosed as moderate-severe IUA from the First Affiliated Hospital of Chongqing Medical University from July 2015 to July 2016 was divided into group A (hysterosalpingography) Wound biological anti-adhesion membrane metal circular IUD was placed in the uterine cavity) 70 cases, B group (biological anti-adhesion membrane was placed in the uterine cavity) 50 cases. Control two groups of patients after re adhesion formation, changes in menstrual volume, uterine anatomy recovery, pregnancy. Results: The incidence of intrauterine reunion (37.1%) in group A was significantly lower than that in group B (56.0%, P = 0.041). The pregnancy rates in group A and B were 22.9% and 22.0%, respectively (P = 0.912). The effective rate (cure rate + improvement rate) of menstrual volume in groups A and B were 72.9% and 62.0% respectively (P = 0.523) Was 100%, 98% (P = 0.554). Conclusion: The intrauterine lumens metal circular IUD + biological anti-adhesion membrane to prevent adhesions recurrence effect was significantly better than simply placing anti-adhesion membrane, and for improving menstruation, restoration of uterine anatomy and pregnancy, the two methods can be.