期刊文献+

球囊尿管预防宫腔粘连分离术后再粘连及对术后妊娠的疗效研究 认领

Study on the Effect of Balloon Catheter on Preventing Readhesion after Separation of Intrauterine Adhesions and Pregnancy
在线阅读 下载PDF
收藏 分享 导出
摘要 目的:探讨宫腔粘连分离术后球囊尿管在预防宫腔再粘连中的应用效果。方法:回顾性分析2017年1月-2018年3月于南方医科大学深圳恒生医院妇科住院手术的71例宫腔粘连患者的临床资料。分为两组,A组42例患者术后宫腔留置球囊导尿管5 d,C组29例患者仅行宫腔镜下宫腔粘连分离术,术后均使用人工周期治疗促进子宫内膜生长。比较两组患者术后的月经情况、宫腔形态、妊娠情况、子宫内膜厚度等。结果:在宫腔形态方面,A组患者术后的治愈率及有效率高于C组,差异有统计学意义(P<0.05);在月经恢复方面,A组有效率为95.24%,高于C组的72.41%,差异有统计学意义(P<0.05)。A组受孕10例,妊娠率35.71%,C组受孕5例,妊娠率17.24%,差异有统计学意义(P<0.05)。术后3、6个月,两组患者子宫内膜厚度有增厚现象,A组术后3个月内子宫内膜厚度优于术后6个月,并优于C组(P<0.05)。结论:宫腔粘连分离术后联合使用球囊导尿管预防宫腔再粘连及对术后妊娠的临床效果优于单行宫腔镜下宫腔粘连分离术。 Objective:To investigate the application effect of balloon catheter in the prevention of intrauterine adhesions after separation of intrauterine adhesions.Method:The clinical data of 71 patients with intrauterine adhesions who underwent gynecological surgery in Shenzhen Hengsheng Hospital of Southern Medical University from January 2017 to March 2018 were retrospectively analyzed.The patients were divided into two groups,group A(42 cases)had indwelling balloon catheter for 5 days after operation,while group C(29 cases)only underwent hysteroscopic intrauterine adhesions separation,and all patients were treated with artificial cycle therapy to promote endometrial growth.The menstruation,uterine cavity morphology,pregnancy,endometrial thickness and so on were compared between the two groups.Result:In terms of uterine cavity morphology,the cure rate and effective rate of group A were higher than that of group C,the difference was statistically significant (P<0.05). In terms of menstrual recovery, the effective rate of group A was 95.24%, higher than 72.41% of group C, the differencewas statistically significant (P<0.05). There were 10 cases of pregnancy in group A (35.71%) and 5 cases (17.24%) in group C (P<0.05). At 3 and 6 months afteroperation, the endometrial thickness of the two groups was thickened. The endometrial thickness of group A within 3 months after operation was better than that of 6months after operation and that of group C (P<0.05). Conclusion: The clinical effect of combined use of balloon catheter in the prevention of intrauterine adhesionsand postoperative pregnancy is better than single hysteroscopic intrauterine adhesions separation.
作者 袁菊花 YUAN Juhua(Shenzhen Hengsheng Hospital of Southern Medical University,Shenzhen 518100,China)
出处 《中外医学研究》 2020年第36期149-151,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 宫腔粘连 球囊导尿管 宫腔镜下宫腔粘连分离术 妊娠 Intrauterine adhesions Balloon catheters Hysteroscopic separation of intrauterine adhesions Pregnancy
  • 相关文献

参考文献10

二级参考文献103

共引文献125

202103读书月活动
维普数据出版直通车
今日学术
投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈