论文部分内容阅读
目的分析评价宫腔镜微型剪刀配合微电极分离宫腔粘连(intrauterine adhesions,IUA)的临床疗效。方法选取2015年1月至2016年10月在乐山市人民医院因IUA住院行宫腔镜下微型剪刀配合微电极治疗的患者56例为观察组,其中轻度粘连30例,中度粘连26例。另选取2013年6月至2014年12月50例IUA行普通宫腔镜电切术的患者为对照组,其中轻度粘连22例,中度粘连28例。两组患者术毕均宫腔安置相应型号宫内节育器,并口服戊酸雌二醇片和黄体酮胶囊周期治疗。术后3月复查宫腔镜和超声测量子宫内膜厚度,统计月经改善情况。结果术后3月,观察组轻度和中度IUA患者总有效率分别为96.7%和88.5%;对照组分别为90.90%和78.57%;两组比较差异有统计学意义(P<0.05);两组患者子宫内膜厚度均增加,观察组增加更为明显,差异有统计学意义(P<0.05);两组患者月经均有改善,观察组优于对照组,差异有统计学意义(P<0.05)。结论宫腔镜下微型剪刀配合微电极分离轻、中度IUA可减少普通电切术后导致的宫腔再次粘连。
Objective To evaluate the clinical effect of hysteroscopic mini scissors combined with microelectrode separation of intrauterine adhesions (IUA). Methods From January 2015 to October 2016, 56 patients undergoing hysteroscopic mini scissors combined with microelectrode treatment in IUA People’s Hospital of Leshan City People’s Hospital were selected as observation group, including 30 cases with mild adhesion and 26 cases with moderate adhesion. Another 50 cases of IUA routine hysteroscopic resection between June 2013 and December 2014 were selected as control group, of which 22 cases were mild adhesions and 28 cases were moderate adhesions. Two groups of patients underwent intrauterine surgery were placed corresponding intrauterine device, and oral administration of estradiol valerate tablets and progesterone capsules cyclical treatment. Hysteroscopy and ultrasound were used to measure the thickness of endometrium after 3 months and the improvement of menstruation was statistically analyzed. Results The total effective rates of mild and moderate IUA patients in observation group were 96.7% and 88.5% respectively after 3 months; those in control group were 90.90% and 78.57% respectively. There was significant difference between the two groups (P <0.05). The thickness of endometrium in both groups increased, the increase in observation group was more obvious, the difference was statistically significant (P <0.05); both groups had improved menstruation, the observation group was better than the control group, the difference was statistically significant (P <0.05). Conclusion Hysteroscopic miniature scissors combined with microelectrode separation of mild and moderate IUA can reduce the general resection of the uterine cavity caused by adhesions.