论文部分内容阅读
目的:探讨长时间放置cook球囊预防宫腔粘连术后复发的有效性评估。方法:收集自2014年8月至2015年8月在我院就诊并经宫腔镜检查确诊为中、重度宫腔粘连,近期有生育要求者并愿意治疗、参与随访的患者158例,抽签法随机分为两组:IUD组66例,球囊组92例。术后三月二探时再次对其进行分级,并随访妊娠情况。结果:长时间放置cook球囊较IUD预防宫腔再粘连更有效(100%vs 83.87%,P<0.05),有更高的累计妊娠率(47.37%vs 30.65%,P<0.05)。球囊组术后经量评分中位数值稍高于IUD组,但无统计学差异(P>0.05)。IUD组中有4例患者术后发现宫颈管再粘连,球囊组未见宫颈管粘连者。结论:中重度宫腔粘连术后宫腔内长时间放置cook球囊较IUD在预防术后宫腔再粘连、宫颈管粘连、远期生育结局方面效果较佳。
Objective: To evaluate the effectiveness of prolonged placement of cook balloon in preventing postoperative recurrence of intrauterine adhesions. Methods: A total of 158 patients were enrolled in our hospital from August 2014 to August 2015, who were diagnosed as moderate and severe intrauterine adhesions by hysteroscopy, who had recently had childbirth requirements and were willing to be treated and followed up. Randomly divided into two groups: IUD group 66 cases, balloon group 92 cases. The patients were graded again on the second postoperative day of March and the pregnancy was followed up. Results: The prolonged placement of the cook balloon was more effective than IUD in preventing intrauterine reocclusion (100% vs 83.87%, P <0.05), with a higher cumulative pregnancy rate (47.37% vs 30.65%, P <0.05). The balloon group postoperative menstrual score median slightly higher than the IUD group, but no significant difference (P> 0.05). In the IUD group, 4 patients were found to have re-adhesion of the cervical canal after operation, and no cervical canal adhesion was found in the balloon group. CONCLUSION: The prolonged placement of the cook balloon in the uterine cavity after moderate-severe intrauterine adhesions is better than IUD in preventing postoperative intrauterine adhesions, cervical canal adhesions and long-term fertility outcomes.