CAJ | 학술논문

目的：比较宫内节育器(IUD)与DIKFILM R(迪康)可吸收医用膜在重度宫腔粘连中的治疗效果。方法选取2013年10月~2014年10月本院的73例重度宫腔粘连患者作为研究对象，按照患者的意愿分为可吸收膜组(33例)和IUD组(40例)。比较两组的月经改善率、妊娠率，并行宫腔镜检查评估宫腔粘连治疗效果，采用彩超测量每个人工周期的子宫内膜厚度。结果可吸收膜组的月经改善率、宫腔恢复率显著高于IUD组，差异有统计学意义(P<0.05)。两组的妊娠率比较，差异无统计学意义(P跃0.05)。两组第2个人工周期口服黄体酮前子宫内膜厚度较第1个人工周期厚，差异有统计学意义(P<0.05)。结论可吸收医用膜在重度宫腔粘连中治疗效果优于宫内节育器，大剂量雌激素应用有利于子宫内膜生长。
목적：비교궁내절육기(IUD)여DIKFILM R(적강)가흡수의용막재중도궁강점련중적치료효과。방법선취2013년10월~2014년10월본원적73례중도궁강점련환자작위연구대상，안조환자적의원분위가흡수막조(33례)화IUD조(40례)。비교량조적월경개선솔、임신솔，병행궁강경검사평고궁강점련치료효과，채용채초측량매개인공주기적자궁내막후도。결과가흡수막조적월경개선솔、궁강회복솔현저고우IUD조，차이유통계학의의(P<0.05)。량조적임신솔비교，차이무통계학의의(P약0.05)。량조제2개인공주기구복황체동전자궁내막후도교제1개인공주기후，차이유통계학의의(P<0.05)。결론가흡수의용막재중도궁강점련중치료효과우우궁내절육기，대제량자격소응용유리우자궁내막생장。
Objective To compare the therapeutic effect of intrauterine device (IUD) and DIKFILM R (Dicon) absorbable medical film in the treatment of severe intrauterine adhesion. Methods 73 patients with severe intrauterine adhesions from October 2013 to October 2014 in our hospital were selected and divided into the absorbable medical film group (33 cases) and the IUD group (40 cases) according to the patient’s wishes.The improvement of menstruation and preg-nancy was compared.The therapeutic effect of intrauterine adhesion was evaluated by hysteroscopy.The thickness of en-dometrium in each artificial cycle was measured by color ultrasound. Results The improvement rate of menstruation and the recovery rate of uterine cavity in the absorbable medical film group was higher than that in the IUD group,with significant difference (P<0.05).There was no significant difference in pregnancy rate between two groups (P>0.05).The thickness of endometrium in the second artificial cycle in two groups was thicker than that in the first cycle,with signif-icant difference (P<0.05). Conclusion The therapeutic effect of absorbable medical film in the treatment of severe in-trauterine adhesion is better than that by IUD,and large doses of estrogen is beneficial for endometrial growth.