CAJ | 학술논문

目的：通过对中、重度宫腔粘连患者电切术后综合分析，探讨宫腔粘连电切术后防止再次粘连的方法。方法回顾性分析48例因宫腔粘连行宫腔镜宫腔粘连电切术患者的临床资料。结果宫腔粘连以月经异常为主要表现，占87.5%（42/48）。宫腔操作次数越多，发生重度粘连的机会越大（P＜0.05）。术后门诊随访48例患者月经恢复情况，术后3个月复查宫腔镜了解患者宫腔恢复情况，治疗总有效率为79.1%（38/48）。术前宫腔粘连程度越重，治疗效果越差（P＜0.05）。结论宫腔镜下宫腔粘连电切术是治疗宫腔粘连的有效方法，术后通过放置宫内节育器、宫腔球囊以及给予人工周期能有效防止再次宫腔粘连，如何防止重度宫腔粘连者再次粘连需进一步研究。
목적：통과대중、중도궁강점련환자전절술후종합분석，탐토궁강점련전절술후방지재차점련적방법。방법회고성분석48례인궁강점련행궁강경궁강점련전절술환자적림상자료。결과궁강점련이월경이상위주요표현，점87.5%（42/48）。궁강조작차수월다，발생중도점련적궤회월대（P＜0.05）。술후문진수방48례환자월경회복정황，술후3개월복사궁강경료해환자궁강회복정황，치료총유효솔위79.1%（38/48）。술전궁강점련정도월중，치료효과월차（P＜0.05）。결론궁강경하궁강점련전절술시치료궁강점련적유효방법，술후통과방치궁내절육기、궁강구낭이급급여인공주기능유효방지재차궁강점련，여하방지중도궁강점련자재차점련수진일보연구。
Objective Analyze the clinical outcome of the severe intrauterine adhesions,to investigate the methods of prevent adhesion again after trans cervical resection of adhesion. Methods Retrospective study was employed to analyze the clinical data of 48 patients with severe intrauterine adhesion which underwent hysteroscopic transcervical resect ion of adhesion. Results Clinical manifestation of 87.5%(42/48)of patients with intrauterine adhesions was abnormal menstruation. More intrauterine surgical procedures led to a greater possibility of severe intrauterine adhesion(P<0. 05). Menstruation recovery of 48 patients is known by the outpatient follow-up, 3 month after the operation, hysteroscopy was used to follow up the recovery with intrauterine adhesion, the over all effective rate was 79.1%(38/48). Patients with severe degree of intrauter ineadhesion before operation recovered with poorer therapeutic efifcacy(P<0.05). Conclusion Hysteroscopic adhesiolysis is an effective method of choice for treating intrauterine adhesion. Applying of placing a balloon and a copper intrauterine device inside the uterus, artiifcial cycle after the operation can can efifciently prevent adhesion. treatment after surgery of how to prevent adhesion again especially for Severe intrauterine adhesions after operation needs to be studied further.