摘要
目的探讨电视宫腔镜在宫腔粘连分离术中的应用价值。方法选取于本院诊断治疗的84例宫腔粘连患者为研究对象,根据治疗方法不同将其分为试验组和对照组。对照组患者采用常规方法治疗,试验组患者采用电视宫腔镜下宫腔粘连分离术治疗,比较两组患者的治疗效果。结果试验组患者月经恢复有效率及术后妊娠率均高于对照组(P<0.05)。试验组中20例患者月经量少,术后85.0%恢复正常;对照组中22例患者月经量少,术后54.5%恢复正常,两组比较差异显著(P<0.05)。试验组中22例患者继发性闭经,术后81.8%恢复正常,13.6%月经量少;对照组中20例患者继发性闭经,术后50.0%恢复正常,30.0%月经量少,两组比较差异显著(P<0.05)。试验组患者宫腔粘连复发率低于对照组(P<0.05)。结论宫腔粘连发病率较高,电视宫腔镜下宫腔粘连分离术治疗效果理想,可在临床推广使用。
Objective To explore the application value of TV hysteroscopy in transcervical resection of adhesions. Method 84 patients with intrauterine adhesions in our hospital were selected as the research objects, according to the different treatment methods they were divided into experimental group and control group. Patients in control group were treated with routine treatment, patients in experimental group were treated with transcervical resection of adhesions, therapeutic effect of the two groups were compared. Result The rate of menstruation recovery in experimental group was higher than control group（P〈0.05）. 20 patients in experimental group were less menstrual blood volume, and 85.0% of them recovered to normal after treatment; 22 patients in control group were less menstrual blood volume, and 54.5% of them recovered to normal after treatment; the difference between the two groups was significant（P〈0.05）. 22 patients with secondary amenorrhea in experimental group, 81.8% of them recovered to normal, and 13.6% of them were menstrual blood volume; 20 patients with secondary amenorrhea in control group, 50.0% of them recovered to normal, and 30.0% of them were menstrual blood volume; the difference between the two groups was significant（P〈0.05）. The recurrence rate of uterine cavity adhesion in the experimental group was lower than that in the control group（P〈0.05）. Conclusion The incidence rate of uterine cavity adhesion is higher, TV hysteroscopic intrauterine adhesions has ideal treatment effect, it is worthy of clinical popularization and application.
出处
《中国医学前沿杂志（电子版）》
2015年第11期47-49,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
广西壮族自治区卫生和计划生育委员会青年基金科研卫计科(1306649)
关键词
宫腔镜
宫腔粘连
宫腔粘连分离术
Hysteroscopy
Intrauterine adhesiou
Transcervical resection of adhesions
