摘要
目的:探讨宫腔镜治疗宫腔粘连的临床效果。方法:经宫腔镜通过机械性或能源性手术对35例宫腔粘连进行分离。结果:35例宫腔粘连分离均在宫腔镜下顺利完成,无1例发生并发症。轻、中度粘连患者一次性分离粘连成功率100%,重度粘连患者一次性分离粘连成功率25.0%,基本成功75.0%。32例月经异常者中26例术后月经恢复正常或较术前明显增多,总恢复率81.25%。11例经期/周期性腹痛者术后6例消失,3例得到缓解,缓解率81.82%。术后3月宫腔镜复查:宫腔恢复正常26例(74.29%),复发粘连3例。在随访期间,21例有生育要求者13例妊娠,妊娠率61.90%。结论:宫腔镜是目前治疗宫腔粘连的一种安全、有效的方法。
Objective： To investigate the clinical effect of hysteroscope in treating intruterin adhesion.Methods： Mechanical and instrumental separation of 35 patients with intruterin adhesion were performed under hysteroscopy.Results： The surgeries of 35 patients were successful without any complications.For one-time operation,the separation rate was 100% for patients with slight or moderate intruterin adhesion and 25.0% for the severe ones（2/8）,the average success rate was 75.0% in the severe patients（6/8）.Of the 32 patients with abnormal menstruation,26 patients＇ menstruation was restored to normal level after surgery or improved obviously,the total recovery rate was 81.25%.Of the 11 patients with periodic abdominal pain in the menstrual period,the pain of 6 patients dissappeared and 3 relieved after operation,the remission rate was 81.82%.Hysteroscopic reexamination 3 months after the surgeries showed that 26 patients restored to normal but 3 recurred.Besides,during the follow-up,21 women who received surgeries and had pregnancy desire were pregnant,the pregnancy rate was 61.90%（13/21）.Conclusion： Hysteroscope is a safe and effective way to treat patients with intruterin adhesion.
出处
《华夏医学》
CAS
2010年第5期499-501,共3页
Acta Medicinae Sinica
关键词
宫腔镜
宫腔粘连
治疗方法
hysteroscope
intruterin adhesion
treatment
