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目的研究宫腔镜宫腔粘连分离术治疗宫腔黏连的临床疗效。方法选取2015年7月至2016年7月112例宫腔粘连患者,按中国宫腔粘连评分分级标准评分,评估宫腔粘连分级,同时记录手术时间和术中出血量等手术基本情况,行宫腔粘连分离术,对比术前情况和术后3个月的随访情况,分析其临床疗效。结果宫腔粘连轻度19例,中度61例,重度32例;宫腔粘连分离术手术时间为(21.2±5.7)min,术中出血量为(20.5±1.8)ml。结论宫腔粘连以中度最为常见;宫腔粘连分级评分影响宫腔粘连分离术的临床疗效,轻度的有效率最高,中度次之,重度最差;宫腔镜宫腔粘连分离术为治疗宫腔粘连的有效方法。
Objective To study the clinical efficacy of hysteroscopic adhesions in the treatment of intrauterine adhesions. Methods One hundred and twelve patients with intrauterine adhesions from July 2015 to July 2016 were enrolled in this study. According to the Chinese classification criteria of intrauterine adhesions grading, the classification of intrauterine adhesions was evaluated. At the same time, the operation conditions such as operative time and intraoperative blood loss were recorded. Adhesion and separation surgery, compared with preoperative conditions and 3 months after the follow-up, analysis of its clinical efficacy. Results The intrauterine adhesions were mild in 19 cases, moderate in 61 cases and severe in 32 cases. The operation time of intrauterine adhesions separation was (21.2 ± 5.7) min, and the intraoperative blood loss was (20.5 ± 1.8) ml. Conclusion The intrauterine adhesions are the most common in moderate degree. The intrauterine adhesion grading score affects the clinical curative effect of intrauterine adhesions separation. The mild effective rate is the highest, followed by moderate and the worst is the worst. Hysteroscopic intrauterine adhesions separation is Effective treatment of intrauterine adhesions.