CAJ | 학술논문

目的:探讨玻璃酸钠配合球囊导尿对重度宫腔粘连患者再粘连的防治效果及预后.方法:选取我院宫腔镜下确诊的168例重度宫腔粘连患者,随机分为实验组、对照组,两组均在 B 超监护下行宫腔镜电切分离粘连,术后实验组放置球囊导尿管3天后取出并上节育环,对照组术后常规上节育环,两组术后均向宫腔注射玻璃酸钠5ml 预防粘连.结果:实验组治疗效果明显好于对照组,术后每三个月随访,实验组宫腔形态恢复正常率、妊娠率及月经改善率明显高于对照组,宫腔再粘连的发生率明显低于对照组(P<0.05).结论:宫腔粘连分离术后用玻璃酸钠配合球囊导尿管可以有效预防宫腔粘连分离术后再粘连的复发.
목적:탐토파리산납배합구낭도뇨대중도궁강점련환자재점련적방치효과급예후.방법:선취아원궁강경하학진적168례중도궁강점련환자,수궤분위실험조、대조조,량조균재 B 초감호하행궁강경전절분리점련,술후실험조방치구낭도뇨관3천후취출병상절육배,대조조술후상규상절육배,량조술후균향궁강주사파리산납5ml 예방점련.결과:실험조치료효과명현호우대조조,술후매삼개월수방,실험조궁강형태회복정상솔、임신솔급월경개선솔명현고우대조조,궁강재점련적발생솔명현저우대조조(P<0.05).결론:궁강점련분리술후용파리산납배합구낭도뇨관가이유효예방궁강점련분리술후재점련적복발.
@@@@ Objective: To explore the effects of combination of sacculus and hyaluronic acid(HA)after transcervical resection of adhesions (TCRA) to treat the severe intrauterine adhesion ( IUA).Methods:168 patients with severe IUA which confirmed by hysteroscope in our hospital were randomly divided into experimental group and control group , both two groups were treated by TCRA under B- hysteroscopic. After TCRA one group treated with sacculus three days,then replaced with IUD and HA ;the other group was treated with IUD and HA routinely. Results:The therapeutic effects in test group were better than those in control group. The incidences of recovery of uterine cavity and menstrual blood volume in test group were obviously higher than those in control group when folowing up every three months after operation .The readhesion of uterine cavity in test group was significantly lower than that in control group ( P< 0.05).Conclusions:Combination of continuously placing sacculus urethral catheter and HA after transcervical resection of adhesions to treat severe intrauterine adhesion could reduce readhesion of uterine cavity.