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目的:观察宫腔镜手术配伍透明质酸钠、双腔气囊造影管、IUD及周期疗法等综合措施治疗宫腔粘连的临床效果。方法:治疗组19例采用宫腔镜下微型剪分离粘连、留置双腔管、注射透明质酸钠、IUD、人工周期等综合治疗,对照组10例在宫腔镜下微型剪分离粘连后即置入IUD,同时予人工周期。观察比较两组术后18个月的月经量、痛经程度、再次宫腔粘连的比例及妊娠率。结果:术后18个月的月经量恢复正常、再次宫腔粘连的比例及妊娠率两组比较差异有统计学意义(P<0.01),而痛经程度的改善两组差异无统计学意义(P>0.05)。结论:宫腔镜手术配伍透明质酸钠、双腔气囊造影管、IUD及周期疗法等综合措施治疗宫腔粘连的临床效果优于传统的分离、IUD、人工周期法,是目前诊治宫腔粘连较理想的方法。
OBJECTIVE: To observe the clinical effect of hysteroscopic surgery combined with sodium hyaluronate, dual-chamber balloon angiography, IUD and periodic therapy in the treatment of intrauterine adhesions. Methods: In the treatment group, 19 cases were treated with hysteroscopic mini-scissors separation and adhesions, indwelling double-lumen tube, sodium hyaluronate injection, IUD, artificial cycle and so on. In the control group, 10 cases were treated with hysteroscopic mini- Into IUD, at the same time artificial cycle. Observe and compare the amount of menstruation, dysmenorrhea, the rate of uterine adhesions and the pregnancy rate of the two groups after 18 months. Results: The amount of menstruation returned to normal at 18 months after operation. The rate of intrauterine adhesions and pregnancy rate were significantly different between the two groups (P <0.01), while the degree of dysmenorrhea was no significant difference between the two groups (P > 0.05). Conclusion: Hysteroscopic surgery combined with sodium hyaluronate, double-chamber balloon angiography, IUD and cyclical therapy and other comprehensive measures for the treatment of intrauterine adhesions clinical effect is better than the traditional separation, IUD, artificial cycle method is the diagnosis and treatment of intrauterine adhesions The ideal way.