岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
Lingnan Journal of Emergency Medicine
2015年
5期
403-405
,共3页
宫腔粘连%宫腔镜检查%金属圆环联合INTERCEED%人工周期
宮腔粘連%宮腔鏡檢查%金屬圓環聯閤INTERCEED%人工週期
궁강점련%궁강경검사%금속원배연합INTERCEED%인공주기
intrauterine adhesion%hysteroscopy%metal ring union INTERCEED retention%artificial cycle
目的：比较金属圆环联合INTERCEED留置＋人工周期与金属圆环留置＋人工周期两种方法在预防中、重度宫腔粘连分离术后再粘连的疗效。方法：回顾分析2012年1月－2013年12月在中山大学孙逸仙纪念医院行宫腔粘连电切术的患者，选取中、重度粘连的患者185例，随机分两组，A组98例，术后宫腔留置金属圆环及INTERCEED；B组87例，术后宫腔留置金属圆环，两组均继以戊酸雌二醇人工周期治疗。结果：宫腔形态恢复情况：A组有效率及月经恢复率比B组明显提高（95．9％ vs 72．4％，93．9％ vs 67．8％，均P＜0．05）。有生育需求且治疗后符合妊娠条件的患者A组为87例，B组为53例，两组成功妊娠率比较无差异（P＞0．05）。结论：金属圆环联合INTERCEED留置＋人工周期治疗明显减少中、重度宫腔粘连术后再粘连的发生，较金属圆环＋人工周期治疗有明显的优势，值得临床推广。
目的：比較金屬圓環聯閤INTERCEED留置＋人工週期與金屬圓環留置＋人工週期兩種方法在預防中、重度宮腔粘連分離術後再粘連的療效。方法：迴顧分析2012年1月－2013年12月在中山大學孫逸仙紀唸醫院行宮腔粘連電切術的患者，選取中、重度粘連的患者185例，隨機分兩組，A組98例，術後宮腔留置金屬圓環及INTERCEED；B組87例，術後宮腔留置金屬圓環，兩組均繼以戊痠雌二醇人工週期治療。結果：宮腔形態恢複情況：A組有效率及月經恢複率比B組明顯提高（95．9％ vs 72．4％，93．9％ vs 67．8％，均P＜0．05）。有生育需求且治療後符閤妊娠條件的患者A組為87例，B組為53例，兩組成功妊娠率比較無差異（P＞0．05）。結論：金屬圓環聯閤INTERCEED留置＋人工週期治療明顯減少中、重度宮腔粘連術後再粘連的髮生，較金屬圓環＋人工週期治療有明顯的優勢，值得臨床推廣。
목적：비교금속원배연합INTERCEED류치＋인공주기여금속원배류치＋인공주기량충방법재예방중、중도궁강점련분리술후재점련적료효。방법：회고분석2012년1월－2013년12월재중산대학손일선기념의원행궁강점련전절술적환자，선취중、중도점련적환자185례，수궤분량조，A조98례，술후궁강류치금속원배급INTERCEED；B조87례，술후궁강류치금속원배，량조균계이무산자이순인공주기치료。결과：궁강형태회복정황：A조유효솔급월경회복솔비B조명현제고（95．9％ vs 72．4％，93．9％ vs 67．8％，균P＜0．05）。유생육수구차치료후부합임신조건적환자A조위87례，B조위53례，량조성공임신솔비교무차이（P＞0．05）。결론：금속원배연합INTERCEED류치＋인공주기치료명현감소중、중도궁강점련술후재점련적발생，교금속원배＋인공주기치료유명현적우세，치득림상추엄。
Objective: To compare the effect of metal ring union INTERCEED retention with artificial cycle and metal rings retention with artificial cycle in prevention of intrauterine adhesions after moderate or severe adhesion separation operation. Methods: Review the patients who have the transcervical resection of endometrium in January 2012 to December 2013 at the sun yat-sen memorial hospital. 185 patients who have moderate or severe adhesion separation operation were randomly divided into two groups A and B. 98 cases postoperative with metal ring union INTERCEED retention were in group A. The others postoperative with metal rings retention were in group B. The two groups both were treated with estradiol artificial cycle. Results: Uterine cavity shape recovery: The effective rate of A group and the menstrual recovery rate is increased sharply compared with B group (95.9% vs 72.4%,93.9% vs 67.8%, respectively P<0.05); There are 87 patients who have fertility requirements and conform to the conditions of pregnancy in group A while 53 cases in group B. The successful rates between the two groups has no statistical significance (P>0.05).Conclusion: The rate of the Medium and heavy intrauterine adhesion Caused by the intrauterine adhesions separation surgery was significantly reduced in the metal ring union INTERCEED retention +artificial cycle group that have obvious advantages compared with metal ring + artificial cycle group. It is worthy of clinical promotion.
