摘要
目的探讨宫腔镜手术为主联合应用宫内节育器及雌孕激素替代疗法综合诊治宫腔粘连(Asherman综合征)的有效性和安全性。方法对宫腔镜下手术分离宫腔粘连的45例患者的临床资料进行总结分析。结果宫腔粘连I度为57.8%,II度28.9%,III度8.9%,IV、V度各占2.2%。治愈36例(80%),有效8例(18%),总有效率97%,无效1例(2.2%)。结论宫腔镜手术恢复宫腔正常解剖学形态后,联合应用宫内节育器和雌、孕激素替代治疗预防粘连的复发,对于宫腔粘连是一种简便、有效的治疗方法。
Objective To investigate the availability and security of hysteroscopy combined with intrauterine device and estrogen and progesterone replacement therapy in the management of Asherman＇ s Syndrome. Methotis The clinical datas of 45 patients who had uterine conglutination treated with hysteroscopy were analyzed. Results After hysteroscopy treatment, Asherman＇ s Syndrome with degree Ⅰ to Ⅴ were 57.8 %, 28.9 %, 8.9 %, 2.2 %, 2.2 %, respectively. Thirty six patients （80 % ） were recovered; 8 patients were partly - recovered. The totle rate of recovery was 97%. While a re - adhesion took place only in one patient（2.2% ）. Conclusion The uterine cavity could be reestablished for patients suffering from Asherman＇ s syndrome by hysteroscopy. The re - adhension of postoperation could be prevented by Intrauterine Device and horrnome replacement therapy. These could be a convenient and effective method for Asherman＇ s Syndrome.
出处
《宁夏医学院学报》
2005年第4期294-296,299,共4页
Journal of Ningxia Medical College
