论文部分内容阅读
目的探讨分析球囊放置次数对预防重度宫腔粘连分离术后再次粘连的临床价值。方法将重度宫腔粘连患者204例随机分为观察组及对照组各102例。两组患者均在宫腔镜下行重度宫腔粘连分离术,术后宫腔放置Foley球囊,4d后经宫腔镜二次探查对照组未取出球囊,观察组取出后再次宫腔放置Foley球囊;4d后2组均取出,观察2组术后宫腔再粘连率及半年月经改善率。结果观察组患者术后1个月宫腔再粘连率为17.6%低于对照组的45.1%(P<0.05)。观察组月经改善率为84.3%高于对照组的53.9%(P<0.05)。结论重度宫腔粘连分离术后再次放置Foley球囊能有效降低宫腔再粘连率,并能有效改善患者的月经情况。
Objective To investigate the clinical value of analyzing the number of balloon placement for prevention of re-adhesion after severe intrauterine adhesions. Methods 204 patients with severe intrauterine adhesions were randomly divided into observation group and control group of 102 cases. Two groups of patients underwent hysteroscopy severe intrauterine adhesions separation, postoperative Foley balloon placed in the uterine cavity, 4d after hysteroscopic secondary exploration control group did not remove the balloon, the observation group after removal of the uterine cavity placement Foley Balloon; 4d after 2 groups were removed, observe the postoperative intrauterine reattached rate and six months menstrual improvement rate. Results The intrauterine reattached rate in the observation group was 17.6% at 1 month after operation, which was lower than that in the control group (45.1%, P <0.05). Observation group, menstrual improvement rate was 84.3% higher than the control group, 53.9% (P <0.05). Conclusions The placement of Foley balloon again after severe intrauterine adhesions can effectively reduce the intrauterine reattached rate and can effectively improve the menstrual status.