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目的观察宫腔镜下宫腔粘连分离术(TCRA)术后两种抗宫腔再粘连方法的预后情况。方法将宫腔粘连患者53例随机分为两组实施TCRA,术后实验组宫腔内放置球囊导尿管加生物蛋白胶,保留尿管3～5 d,对照组放置IUD。比较两组术后月经量和宫腔内情况。结果 I、II度粘连的患者两组比较差异无统计学意义(P>0.05),III度以上重度粘连患者实验组的治愈率和有效率高于对照组,两组比较差异有统计学意义(P<0.05)。结论 TCRA术后防止宫腔再粘连,球囊导尿管加生物蛋白胶的治疗效果安全、有效。
Objective To observe the prognosis of two methods of intrauterine adhesions after hysteroscopic intrauterine adhesions (TCRA). Methods 53 patients with intrauterine adhesions were randomly divided into two groups to carry out TCRA. After operation, the balloon catheter and bioprotein glue were placed in the uterine cavity in the experimental group. The urethral catheter was retained for 3 to 5 days. The control group was placed with IUD. The postoperative menstrual flow and intrauterine conditions were compared between the two groups. Results There was no significant difference between the two groups in I and II degrees of adhesion (P> 0.05). The cure rate and effective rate of experimental group with grade III or higher were higher than that of control group, the difference was statistically significant P <0.05). Conclusion TCRA to prevent intrauterine adhesions, balloon catheters plus bio-protein glue treatment is safe and effective.