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目的比较中重度宫腔粘连患者术后三种预防粘连方法的疗效。方法 80例中重度宫腔粘连患者进行宫腔镜下宫腔粘连分离,术后分别采用A组,宫腔镜检查组,B组,节育环组,C组,球囊组分别于术后1个月、3个月复查宫腔粘连情况,并记录月经改善及受孕情况。结果三种方法术后预防再粘连的效果都很显著,差异无统计学意义。术后放置5d球囊管后,放置宫内节育环,不增加感染率。结论相对经济,效果肯定,患者依从性好,受孕率高,可作为宫腔粘连分离防止再粘连的常规用法。
Objective To compare the efficacy of three methods of prevention of adhesion in patients with moderate or severe adhesion of uterine cavity. Methods Eighty patients with moderate or severe adhesion of uterine cavity underwent hysteroscopic intrauterine adhesions. The patients in group A, hysteroscopy, B, IUD, C and balloon were divided into two groups Month, 3 months to review intrauterine adhesions, and record the menstrual improvement and conception. Results The three methods of prevention of re-adhesion after the effect is very significant, the difference was not statistically significant. Postoperative 5d balloon catheter placement of intrauterine contraceptive ring, does not increase the infection rate. Conclusions Relatively economical, positive results, good patient compliance, high conception rate, can be used as a routine use of intrauterine adhesions to prevent re-adhesion.