摘要
目的比较宫腔镜下分离宫腔粘连后两种抗粘连方法的疗效。方法 43例宫腔镜下宫腔III度及以上粘连分离术后患者,随机分为宫内节育器(intrauterine contraceptive device,IUD)组(22例)和几丁糖组(21例),术后1个月宫腔镜下观察两组宫腔内粘连情况。结果 IUD组宫腔再粘连率54.55%,明显高于几丁糖组的再粘连率19.05%(P<0.05);且IUD组肌性及结缔组织性粘连比例40.91%,明显高于几丁糖组4.76%(P<0.01)。结论宫腔镜下III度及以上宫腔粘连分离术后,应用几丁糖能显著减少术后宫腔再粘连的发生,较之常规术后置器有明显的优势。
Objective To study the effect of two methods on preventing recurrent adhesion after transcervical resection of Ⅲ°degree（or above）intrauterine adhesions.Methods Forty-three patients with III°degree（or above）intrauterine adhension after transcervical resection were randomly divided into intrauterine contraceptive device（IUD）group（22cases）and chitosan group（21cases）.The recurrent adhesion was observed through hysteroscopy one month later.Results The recurrence rate of the adhesion which was 54.55% in IUD group was much higher than that in chitosan group which was 19.05%（P0.05）.Furthermore the rate of the muscular adhension and connective-tissue adhension which was 40.91% in IUD group was also much higher than that in chitosan group which was 4.76%（P0.01）.Conclusion The application of the chitosan can obviously decrease the recurrent adhesion after transcervical resection of III°or above intrauterine adhesions which has obvious advantages to the routine method of the contraceptive device appclication.
出处
《中国计划生育和妇产科》
2010年第5期58-60,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
宫腔粘连
宫内节育器
几丁糖
intrauterine adhension
intrauterine contraceptive device
chitosan
