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目的比较重度宫腔粘连术后预防再次粘连的两种治疗方案的疗效。方法选择2011年6月—2012年9月郑州大学第三附属医院诊断为重度宫腔粘连行宫腔镜手术治疗的患者152例。球囊组76例,术后宫腔内置入球囊导尿管,5d后更换宫内节育器;上环组76例,术后宫腔直接放置节育环。观察术后宫腔恢复、月经改善及妊娠情况。结果球囊组宫腔恢复及月经改善情况优于上环组(P<0.05),两组妊娠情况无统计学差异(P>0.05)。结论宫腔重度粘连术后宫腔持续放置球囊,并更换宫内节育环的综合治疗方案可有效降低术后宫腔粘连,促进月经恢复正常,但不能提高妊娠率。
Objective To compare the curative effects of two kinds of treatment regimens to prevent re-adhesion after severe intrauterine adhesions. Methods From June 2011 to September 2012, 152 cases of severe intrauterine adhesions underwent hysteroscopic surgery in the Third Affiliated Hospital of Zhengzhou University. Balloon group 76 cases, after intrauterine implantation of balloon catheter, 5d after IUD replacement; Shanghuan group 76 cases, postoperative IUD directly placed in the uterine cavity. Uterine cavity recovery, menstrual improvement and pregnancy were observed. Results The recovery of uterine cavity and the improvement of menstruation in balloon group were better than those in the control group (P <0.05). There was no significant difference in pregnancy between the two groups (P> 0.05). Conclusions The intrauterine continuous intrauterine placement of the uterine cavity balloon and intrauterine device replacement ring integrated treatment can effectively reduce intrauterine adhesions and promote normal menstruation, but can not improve the pregnancy rate.