CAJ | 학술논문

目的比较子宫纵隔电切术后宫腔内分别放置生物防粘连膜与宫内节育器对预防术后宫腔粘连的临床疗效.方法回顾性分析2013年1月至2014年2月郑州大学第一附属医院经手术确诊为子宫纵膈有完整病例资料的患者65例,均行腹腔镜监视下宫腔镜子宫纵膈电切术,术后宫腔内放置防粘连膜31例为A组,放置节育器34例为B组,术后2个月行官腔镜检查了解宫腔情况,同时随访了解月经情况及腰部不适症状.结果 ①术后宫腔镜检查:A组宫腔粘连4例(12.9％),B组6例(17.6％),两组比较差异未见统计学意义(P＞0.05).②术后月经情况及腰部不适症状:A组月经异常3例(9.6％),腰部不适3例(9.7％),B组月经异常10例(29.4％),腰部不适11例(32.4％),两组比较差异均有统计学意义(P＜0.05).结论腹腔镜监视下宫腔镜子宫纵膈电切术后宫腔内分别放置防粘连膜与宫内节育器对预防术后宫腔粘连的疗效无明显差异,而宫腔内放置防粘连膜术后月经异常情况及腰部不适症状发生率低,可在临床上推广应用.
목적 비교자궁종격전절술후궁강내분별방치생물방점련막여궁내절육기대예방술후궁강점련적림상료효.방법 회고성분석2013년1월지2014년2월정주대학제일부속의원경수술학진위자궁종격유완정병례자료적환자65례,균행복강경감시하궁강경자궁종격전절술,술후궁강내방치방점련막31례위A조,방치절육기34례위B조,술후2개월행관강경검사료해궁강정황,동시수방료해월경정황급요부불괄증상.결과 ①술후궁강경검사:A조궁강점련4례(12.9％),B조6례(17.6％),량조비교차이미견통계학의의(P＞0.05).②술후월경정황급요부불괄증상:A조월경이상3례(9.6％),요부불괄3례(9.7％),B조월경이상10례(29.4％),요부불괄11례(32.4％),량조비교차이균유통계학의의(P＜0.05).결론 복강경감시하궁강경자궁종격전절술후궁강내분별방치방점련막여궁내절육기대예방술후궁강점련적료효무명현차이,이궁강내방치방점련막술후월경이상정황급요부불괄증상발생솔저,가재림상상추엄응용.
Objective To compare the effects on preventing the adhesion with an intrauterine device or an intrauterine interceed after the resection of the septum.Methods A retrospective study of 65 patients with septum uterus diagnosed by the surgery from the First Affiliated Hospital of Zhengzhou University from January 2013 to February 2014.And these patients have the entire medical records,and all patients had undergone the hysteroscopic septum resection with the laparoscopy monitoring.After the surgery,31 patients in group A had the intrauterine interceed inserted,while 34 patients in group B had the intrauterine device fitted.After two months of post-operation,a second hysteroscopy was performed in all patients to compare the two groups in the intrauterine adhesion,meanwhile all the patients were followed up in the menstruation and the waist uncomfortable symptom.Results ① The incidence of the intrauterine adhesion after 2 months of post-operation:there are 4 of 31 (12.9％) in group A,while 6 of 34(17.6％) in group B.As a result,there were no significant differences between the two groups (P ＞ 0.05).②The incidence of the abnormal menstruation and the waist uncomfortable symptom:the group A had 3 cases (9.6％) with the abnormal menstruation and 3 cases (9.7％) with the waist uncomfortable symptom,while in group B there were 10 cases(29.4％) with the abnormal menstruation and 11 cases(32.4％)with the waist uncomfortable symptom.From the results,the differences between the groups were both obviously significant (P ＜ 0.05).Conclusions The effects between the two groups on preventing the intrauterine adhesion are not different significantly after the hyteroscopic uterine septum resection with the laparoscopy monitoring.However,in the interceed group the incidence of the abnormal menstruation and the waist uncomfortable symptom is lower than that in the intrauterine device group,which makes it possible to enlarge the interceed application after the septate resection.