CAJ | 학술논문

目的：比较医用几丁糖与宫内节育器两种方法在宫腔镜下宫腔粘连分解术后预防再粘连的疗效。方法：对2011年1月至2012年6月宫腔粘连在我院行宫腔镜下宫腔分解术患者进行回顾性分析。术后宫腔内放置节育环( IUD)51例为IUD组，宫腔注入几丁糖52例为几丁糖组。结果：几丁糖组再粘连率7.7％，月经改善有效率94.2％，妊娠率68.5％；IUD组再粘连率21.6％，月经改善有效率78.4％，妊娠率41.6％，两组参数比较差异均具有统计学意义。结论：宫腔粘连分离术后使用医用几丁糖较宫内节育器更有效降低再粘连的发生，提高月经改善有效率及妊娠率，其作用优于安置宫内节育器。
목적：비교의용궤정당여궁내절육기량충방법재궁강경하궁강점련분해술후예방재점련적료효。방법：대2011년1월지2012년6월궁강점련재아원행궁강경하궁강분해술환자진행회고성분석。술후궁강내방치절육배( IUD)51례위IUD조，궁강주입궤정당52례위궤정당조。결과：궤정당조재점련솔7.7％，월경개선유효솔94.2％，임신솔68.5％；IUD조재점련솔21.6％，월경개선유효솔78.4％，임신솔41.6％，량조삼수비교차이균구유통계학의의。결론：궁강점련분리술후사용의용궤정당교궁내절육기경유효강저재점련적발생，제고월경개선유효솔급임신솔，기작용우우안치궁내절육기。
Objective To explore the effect of Chitosan and intrauterine contraceptive device on the preven-tion of intrauterine adhesions after the intrauterine adhesions separation surgery with hysteroscopy. Methods Clinical data of 103 patients of Hysteroscopic adhesiolysis with hysteroscope in our hospital from January 2011 to June 2012, divided into the chitosan group and the IUD group according to the different methods of postoperative anti-adhesion. 52 patients were infused with Medical Chitosan in chitosan group; 51 patients who were placed with IUD postoperation were in the IUD group. Results In the chitosan group and the IUD group, the recurrence rate of adhesion was 7.7% vs. 21.6%, the menstrual improvement rate was 94.2% vs.78.4%, and the pregnancy rate was 68.5%vs. 41.6%(P<0.05). Conclusion The prevention effect of chitosan is better than intrauterine con-traceptive device on intrauterine adhesions after the intrauterine adhesions separation surgery with hysteroscopy.