Two therapeutic schemes for Ⅱ degree intrauterine adhesion:a clinical control study

Zhou Qiaoyun; Huang Xiaowu

doi:10.13406/j.cnki.cyxb.001227

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Two therapeutic schemes for Ⅱ degree intrauterine adhesion:a clinical control study

更新时间：2024-01-17

- Two therapeutic schemes for Ⅱ degree intrauterine adhesion:a clinical control study
- Journal of Chongqing Medical University Vol. 42, Issue 4, Pages: 420-423(2017)
- 作者机构：
  
  首都医科大学附属复兴医院
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001227
  CLC： R713.4
- Published：2017，
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Zhou Qiaoyun, Huang Xiaowu. Two therapeutic schemes for Ⅱ degree intrauterine adhesion:a clinical control study. [J]. Journal of Chongqing Medical University 42(4):420-423(2017)
DOI：

Zhou Qiaoyun, Huang Xiaowu. Two therapeutic schemes for Ⅱ degree intrauterine adhesion:a clinical control study. [J]. Journal of Chongqing Medical University 42(4):420-423(2017) DOI： 10.13406/j.cnki.cyxb.001227.

摘要

目的:比较Ⅱ度宫腔粘连(intrauterine adhesion

IUA)宫腔镜手术后放置和不放置宫腔球囊2种治疗方案的疗效。方法:选择2014年9月至2016年3月就诊于首都医科大学附属复兴医院宫腔镜中心

经宫腔镜检查确诊为Ⅱ度IUA患者80例

随机分为2组:A组40例

行宫腔镜宫腔粘连电切术(transcervical resection of adhesion

TCRA)后予雌、孕激素人工周期治疗2个月;B组40例

TCRA术后宫腔内放置Foley球囊并注水4 m L

留置5 d

术后予雌、孕激素人工周期治疗2个月。所有患者均于术后1、3个月行宫腔镜二探

观察2组IUA复发情况

并评估月经改善情况

从而评价2种治疗方案的疗效。结果:术后1个月复查A组13例(32.5%)膜样粘连

B组9例(22.5%)膜样粘连

2组之间无统计学差异(P=0.317);术后3个月复查A组及B组均无粘连发生;术后3个月A组月经改善率86.94%;B组月经改善率90.91%

2组比较差异无统计学意义(P=1.000)。结论:对于Ⅱ度IUA患者

TCRA术后可不予放置Foley球囊预防粘连复发

仅通过术后宫腔镜二探即可预防粘连复发。

Abstract

Objective:To compare the efficacy of two therapeutic schemes for intrauterine adhesion. Methods:Eighty patients of Ⅱ degree intrauterine adhesion（IUA）were divided into two groups

each group had 40 patients. Group A were given estrogen and progesterone artificial cycle therapy for 2 months after transcervical resection of adhesion（TCRA）. Group B were placed Foley balloon into uterine cavity just after TCRA

and 4 m L N.S. was injected into the Foley balloon. Postoperative estrogen and progesterone treatment was the same as Group A. All patients were reviewed by hysteroscopy to observe the recurrence of intrauterine adhesion in one month and three month and the menstruation improvement was evaluated at three months respectively after TCRA. Results:At one month after TCRA

membranous adhesion was found in 13 cases（32.5%）in Group A and 9 cases（22.5%）in Group B. There was no significant difference between the two groups（P=0.317）. After three months

no adhesion was found in both groups;in the meantime

the rate of menstrual improvement reached 86.94% in Group A and 90.91% in Group B;there was no significant difference between the two groups（P=1.000）. Conclusion:For Ⅱ degree intrauterine adhesion

it may not be necessary to place Foley balloon into uterine cavity after TCRA. Hysteroscopy second look is a good way to prevent adhesion.

关键词

宫腔粘连宫腔镜复发治疗方案

Keywords

intrauterine adhesionshysteroscopyrecurrencetherapeutic scheme

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