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目的探讨妇科内镜手术治疗宫腔粘连的临床疗效。方法选取2008年2月-2012年2月该院妇科收治的80例宫腔粘连患者的临床资料进行分析,数据比较用χ2检验,探讨对其行内镜手术后的临床效果。结果轻度粘连28例,治愈28例,治愈率100.00%,宫腔形态恢复良好,月经量恢复正常;中度粘连46例,治愈38例,治愈率82.61%,宫腔成形状态基本满意,6例月经量有所改善,但尚未达到正常月经量;重度宫腔粘连6例,1例治疗无效,其继发宫腔粘连的原因是子宫肌瘤介入手术后,宫腔致密肌性粘连。80例宫腔内镜手术均顺利完成,未发生子宫穿孔、宫颈裂伤等并发症;轻度宫腔粘连28例,有生育要求19例,妊娠率89.47%(17/19),中度宫腔粘连46例,有生育要求47.83%,妊娠率59.09%(13/22),重度宫腔粘连6例,有生育要求4例,妊娠率0。轻度宫腔粘连较中度宫腔粘连妊娠率高,中度粘连较重度粘连妊娠率高,差异均有统计学意义(P<0.05)。结论妇科内镜手术是治疗宫腔粘连的有效方法,轻中度宫腔粘连患者治疗后妊娠率较高。
Objective To investigate the clinical efficacy of gynecological endoscopic surgery in the treatment of intrauterine adhesions. Methods The clinical data of 80 patients with intrauterine adhesions treated in our hospital from February 2008 to February 2012 were analyzed. The data were compared with χ2 test to explore the clinical effect of endoscopic surgery. Results 28 cases of mild adhesion, 28 cases were cured, the cure rate was 100.00%, uterine cavity morphology recovered well, menstruation returned to normal; moderate adhesion in 46 cases, cured 38 cases, the cure rate was 82.61% Cases of menstrual flow have improved, but not yet reached the normal menstrual flow; severe intrauterine adhesions in 6 cases, 1 case of ineffective treatment of secondary uterine adhesions due to uterine fibroids after the interventional surgery, intrauterine dense muscular adhesions. 80 cases of intrauterine surgery were successfully completed, no uterine perforation, laceration and other complications of the cervix; 28 cases of mild intrauterine adhesions, fertility requirements in 19 cases, the pregnancy rate was 89.47% (17/19), moderate Palace Cavity adhesion in 46 cases, with reproductive requirements of 47.83%, pregnancy rate was 59.09% (13/22), severe intrauterine adhesions in 6 cases, 4 cases of fertility requirements, pregnancy rate 0. Mild intrauterine adhesions than moderate intrauterine adhesions pregnancy rate, moderate adhesions severe adhesions pregnancy rate was higher, the difference was statistically significant (P <0.05). Conclusion Gynecological endoscopic surgery is an effective method for the treatment of intrauterine adhesions. The pregnancy rate of patients with mild to moderate uterine adhesions is high.