CAJ | 학술논문

目的评价子宫球囊支架放置宫腔7d的安全性及患者接受度.方法对象为2012年6月至2013年12月浙江大学附属邵逸夫医院因中重度宫腔粘连行粘连分离手术的患者,共79例.根据宫腔内放置物理屏障分为子宫球囊支架组(51例)和带尾丝节育器组(28例),对宫颈分泌物行通用细菌培养,并对球囊支架使用者满意度调查.结果 82.3％(42/51)患者能够很好地耐受球囊放置期间的不适感,86.3％ (44/51)的患者表示如有需要愿意再次使用球囊.球囊支架组细菌培养阳性率为33.3％(17/51),节育器组细菌培养阳性率28.6％ (8/28),两组患者细菌感染率及细菌感染种类均差异无计学意义.结论球囊支架在宫内放置1周的时间是相对安全的,同时患者对球囊支架放置宫腔也有较好的接受度.
목적 평개자궁구낭지가방치궁강7d적안전성급환자접수도.방법 대상위2012년6월지2013년12월절강대학부속소일부의원인중중도궁강점련행점련분리수술적환자,공79례.근거궁강내방치물리병장분위자궁구낭지가조(51례)화대미사절육기조(28례),대궁경분비물행통용세균배양,병대구낭지가사용자만의도조사.결과 82.3％(42/51)환자능구흔호지내수구낭방치기간적불괄감,86.3％ (44/51)적환자표시여유수요원의재차사용구낭.구낭지가조세균배양양성솔위33.3％(17/51),절육기조세균배양양성솔28.6％ (8/28),량조환자세균감염솔급세균감염충류균차이무계학의의.결론 구낭지가재궁내방치1주적시간시상대안전적,동시환자대구낭지가방치궁강야유교호적접수도.
Objective To evaluate the safety and acceptability of COOK intrauterine balloon stent in uterine for one week after hysteroscopic adhesiolysis.Methods A total of 79 females with moderatesevere Asherman syndrome undergoing hysteroscopic division of intrauterine adhesion were enrolled from June 2012 to December 2013.They were divided into two groups of intrauterine balloon stent (n =51) and tailed intrauterine contraceptive device (n =28).The sterile swabs were taken from cervical canals for bacterial culture by the same microbiologist.Each patient in balloon group was requested to answer a questionnaire survey on the acceptability of balloon stent.Results 82.3％ of them could tolerate discomforts during balloon placement and 86.3％ desired re-ballooning if necessary.Positive microorganism cultures were seen in 17 patients (33.3％) in balloon group versus 8 (28.6％) in intrauterine contraceptive device group.And the positive rate was not different between two groups.Conclusion It is relatively safe to maintain the intrauterine balloon stent in uterine for one week.And most patients accept readily the intrauterine balloon stent.