中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
98-99,108
,共3页
宫腔粘连%宫腔镜%宫腔重建
宮腔粘連%宮腔鏡%宮腔重建
궁강점련%궁강경%궁강중건
Intrauterine adhesion%Hysteroscopy%Uterus reconstruction
目的 探讨以宫腔镜为主的综合治疗在度宫腔粘连病例中的应用价值.方法 回顾性分析2012年1月—2014年12月该院64例宫腔粘连病例以宫腔镜手术治疗的疗效. 结果 64例宫腔镜术后36例恢复正常月经,占56.25%(36/64);21例月经改善,占32.81%(21/64);7 例月经无改善或仍闭经,占10.94%(7/64).结论 宫腔镜对于宫腔粘连的治疗是有效的,尤其是轻中度患者.使用宫腔镜联合超声是手术安全成功的保障,宫腔镜术后宫腔内放置Foley导尿管,术后的雌孕激素周期治疗促进子宫内膜修复、宫腔放置合适的宫内节育器均有利于预防术后宫腔再粘连.
目的 探討以宮腔鏡為主的綜閤治療在度宮腔粘連病例中的應用價值.方法 迴顧性分析2012年1月—2014年12月該院64例宮腔粘連病例以宮腔鏡手術治療的療效. 結果 64例宮腔鏡術後36例恢複正常月經,佔56.25%(36/64);21例月經改善,佔32.81%(21/64);7 例月經無改善或仍閉經,佔10.94%(7/64).結論 宮腔鏡對于宮腔粘連的治療是有效的,尤其是輕中度患者.使用宮腔鏡聯閤超聲是手術安全成功的保障,宮腔鏡術後宮腔內放置Foley導尿管,術後的雌孕激素週期治療促進子宮內膜脩複、宮腔放置閤適的宮內節育器均有利于預防術後宮腔再粘連.
목적 탐토이궁강경위주적종합치료재도궁강점련병례중적응용개치.방법 회고성분석2012년1월—2014년12월해원64례궁강점련병례이궁강경수술치료적료효. 결과 64례궁강경술후36례회복정상월경,점56.25%(36/64);21례월경개선,점32.81%(21/64);7 례월경무개선혹잉폐경,점10.94%(7/64).결론 궁강경대우궁강점련적치료시유효적,우기시경중도환자.사용궁강경연합초성시수술안전성공적보장,궁강경술후궁강내방치Foley도뇨관,술후적자잉격소주기치료촉진자궁내막수복、궁강방치합괄적궁내절육기균유리우예방술후궁강재점련.
Objective To explore on the application value of hysteroscopy-based comprehensive therapy in the treatment of in-trauterine adhesion. Methods A retrospective study was made on 64 intrauterine adhesion patients admitted to our hospital from January 2012 to December 2014 who underwent hysteroscopy-based comprehensive therapy to evaluate their therapeutic effects. Results Of all the 64 patients, normal menstruation in 36 patients was reported after the surgery, accounting for 56.25%;menstru-ation was improved in 21 patients, accounting for 32,81%; 7 patients showed no sign of improvement, accounting for 10.94%. Conclusion Hysteroscopy-based comprehensive therapy is effective in treating patients with intrauterine adhesion, especially for those with mild and moderate intrauterine adhesion. Hysteroscopy combined with ultrasound can safeguard a successful operation, while placement of Foley catheter in uterine cavity, periodic treatment of estrogen and progestogen to promote endometrial repair, placement of suitable intrauterine contraceptive device can all be beneficial for preventing postoperative intrauterine re-adhesions.
