Comparison on clinic efficacy between intrauterine device and interceed absorbable adhesion barrier in preventing re-adhesion among patients with moderate or severe intrauterine adhesion

Xiong Jie; Yuan Rui

doi:10.13406/j.cnki.cyxb.001230

您当前的位置：

首页 >

文章列表页 >

Comparison on clinic efficacy between intrauterine device and interceed absorbable adhesion barrier in preventing re-adhesion among patients with moderate or severe intrauterine adhesion

更新时间：2024-01-17

- Comparison on clinic efficacy between intrauterine device and interceed absorbable adhesion barrier in preventing re-adhesion among patients with moderate or severe intrauterine adhesion
- Journal of Chongqing Medical University Vol. 42, Issue 4, Pages: 411-414(2017)
- 作者机构：
  
  重庆医科大学附属第一医院妇产科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001230
  CLC： R713.4
- Published：2017，
扫描看全文
Xiong Jie, Yuan Rui. Comparison on clinic efficacy between intrauterine device and interceed absorbable adhesion barrier in preventing re-adhesion among patients with moderate or severe intrauterine adhesion. [J]. Journal of Chongqing Medical University 42(4):411-414(2017)
DOI：

Xiong Jie, Yuan Rui. Comparison on clinic efficacy between intrauterine device and interceed absorbable adhesion barrier in preventing re-adhesion among patients with moderate or severe intrauterine adhesion. [J]. Journal of Chongqing Medical University 42(4):411-414(2017) DOI： 10.13406/j.cnki.cyxb.001230.

摘要

目的:探究宫腔粘连分离术后宫腔内置入包裹生物防粘连膜的宫内节育器(intrauterine device

IUD)与防粘连膜预防粘连复发的疗效。方法:回顾性分析2015年7月至2016年7月重庆医科大学附属第一医院经宫腔镜检查诊断为中重度IUA患者120例

于宫腔镜粘连分离术后被随机分为A组(包裹生物防粘连膜的金属圆形IUD被置入宫腔)70例

B组(生物防粘连膜被置入宫腔)50例。对照2组患者术后的再粘连形成、月经量的变化、宫腔解剖构造恢复、妊娠情况。结果:术后A组宫腔再粘连发生率(37.1%)明显低于B组再粘连发生率(56.0%)

P=0.041;A、B组妊娠率分别为22.9%、22.0%(P=0.912);A、B组月经量治疗有效率(治愈率+改善率)分别为72.9%、62.0%(P=0.523);A、B组宫腔形态恢复有效率(治愈率+改善率)分别为100%、98%(P=0.554)。结论:术后宫腔内留置金属圆形IUD+生物防粘连膜防止粘连复发的效果明显优于单纯放置防粘连膜

而对于改善月经、恢复宫腔解剖结构及妊娠

2种方法均可。

Abstract

Objective:To compare the clinical efficacy of between intrauterine device（IUD）and interceed absorbable adhesion barrier in in preventing re-adhesion after transcervical resection of adhesion（TCRA）. Methods:Totally 120 patients with moderate or severe intrauterine adhesion（IUA） diagnosed by hysteroscopy from July 2015 to July 2016 in the First Affiliated Hospital of Chongqing Medical University were randomly divided into two groups:70 cases were included in group A

which treated with IUD combined with interceed absorbable adhesion barrier;50 cases were included in group B which treated with interceed absorbable adhesion barrier.The incidence of adhesion recurrence

the recovery of uterine anatomy

menstrual

the fertility rate were observed. Results:The adhesion recurrence rate in group A（37.1%）was significantly lower than that in group B（56.0%）

P=0.041. There was no significant difference between group A and group B in fertility rate（22.9% vs. 22.0%）

P=0.912. The menstrual improvement rate was 72.9% in group A and 22.0% in group B（P=0.523）. The recovery of uterine anatomy was 100% in group A and 98.0% in group B（P=0.554）. Conclusion:IUD combined with interceed absorbable adhesion barrier is better than interceed absorbable adhesion barrier to prevent re-adhesion after TCRA. These two methods are both effective in improving menstruation

recovering uterine anatomy and postoperative pregnancy outcome.

关键词

宫腔镜下粘连松解术再粘连宫内节育器生物防粘连膜

Keywords

transcervical resection of adhesionadhesion recurrenceintrauterine deviceinterceed absorbable adhesion barrier

references

Views

154

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Analysis of the effect of readhesion of Combined application of chitosan and balloon stent in the prevention of severe intrauterine adhesions

Clinical effect of intrauterine balloon versus intrauterine device after transcervical resection of adhesions

Related Author

Xiao Tianhui

Le Aiwen

Zhuo Rong

Tao Yu

Wang Zhonghai

Liu Bao

Chi Yugang

Hu Lina

Related Institution

Department of Gynecology,Affiliated Shenzhen Nanshan People’s Hospital of Guangdong Medical University

Department of Gynecology，Chongqing Health Center for Women and Children

Department of Gynecology，the Second Affiliated Hospital，Chongqing Medical University

⁰