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目的探讨宫腔镜下对中重度宫腔粘连行粘连分离及宫腔重建术后联合宫内放置IUD及雌孕激素周期治疗,对预防宫腔再粘连及促进子宫内膜生长的效果评价。方法对2012年在柳州市妇幼保健院通过B超、宫腔镜确诊56例中重度宫腔粘连患者,行宫腔镜粘连分离及宫腔重建后宫内放置IUD一枚,术后第2天开始口服雌孕激素。结果 56例患者术后恢复正常月经量42例,随访6个月妊娠者22例,复发8例。结论宫腔镜下行粘连分离及宫腔重建术后联合宫内放置IUD及雌孕激素周期治疗,能有效改善及恢复患者月经,提高妊娠率,并能较好的预防宫腔再次粘连。
Objective To investigate the effect of hysteroscopy on the adhesion of intrauterine adhesions and the promotion of endometrial growth in patients with moderate to severe uterine adhesions and intrauterine IUD and estrogen and progesterone treatment after uterine reconstruction. Methods In 2012, 56 cases of moderate to severe intrauterine adhesions were diagnosed by B-mode ultrasonography and hysteroscopy in the MCH hospital of Liuzhou City. Hysteroscopic adhesions and uterine cavity were placed in the uterus for IUD fixation. Oral Estrogen and progesterone. Results 56 patients returned to normal after menstruation in 42 cases, followed up for 6 months of pregnancy in 22 cases, 8 cases of recurrence. Conclusion hysteroscopic adhesions and uterine cavity reconstruction combined intrauterine IUD placement and estrogen and progesterone cycle treatment can effectively improve and restore the patient’s menstruation, improve pregnancy rate, and can better prevent uterine adhesions again.