摘要
目的探讨放置子宫球囊支架对预防中重度宫腔粘连术后再粘连的效果。方法选取2018年6月至2019年6月无锡市惠山区第二人民医院收治的98例中重度宫腔粘连患者,按随机数字表法分为两组,各49例。所有患者均接受宫腔镜冷刀分离术治疗,对照组术后放置球囊导尿管,观察组术后宫腔放置子宫球囊支架。对比两组术后疗效、月经恢复情况及再粘连发生率。结果观察组术后3个月总有效率与对照组相比,差异无统计学意义(P>0.05);观察组术后3个月月经恢复情况与对照组相比,差异无统计学意义(P>0.05);观察组术后1个月、3个月、6个月再粘连发生率与对照组相比,差异无统计学意义(P>0.05)。结论中重度宫腔粘连术后放置子宫球囊支架与球囊导尿管均具有显著疗效,可有效预防术后再粘连,促进月经恢复。
Objective To investigate the effect of placement of uterine balloon stent on prevention of readhesion after moderate to severe intrauterine adhesions.Methods A total of 98 patients with moderate to severe intrauterine adhesions admitted to the Second People's Hospital of Huishan District from June 2018 to June 2019 were selected and divided into two groups according to the random number table method,with 49 patients in each group.All patients were treated with hysteroscopic cold knife separation.Balloon catheters were placed in the control group and uterine balloon stents were placed in the uterine cavity in the observation group.The postoperative efficacy,menstrual recovery and incidence of re-adhesion were compared between the two groups.Results There was no significant difference in the total effective rate of the observation group at 3 months after operation compared with the control group(P>0.05).The menstrual recovery in the observation group at 3 months after operation was not significantly different from that in the control group(P>0.05);the incidence of re-adhesion at 1 month,3 months,and 6 months in the observation group compared with the control group,the difference was not statistically significant(P>0.05).Conclusion Placing a uterine balloon stent and a balloon urethral catheter after moderate to severe intrauterine adhesions have significant effects,can effectively prevent re-adhesion,promote menstrual recovery.
作者
杨波
堵晓英
YANG Bo;DU Xiaoying(The Second People's Hospital of Huishan District,Wuxi,Jiangsu 214174,China)
出处
《大医生》
2020年第20期55-57,共3页
Doctor
关键词
子宫球囊支架
球囊导尿管
中重度宫腔粘连
月经恢复
uterine balloon stent
balloon catheter
moderate to severe uterine adhesions
menstrual recovery
