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目的探讨使用宫颈管粘连分离术加改良式宫内节育器治疗宫颈管管粘连的临床疗效。方法随机选取50例宫颈管粘连患者,随机分为实验组25例和对照组25例,实验组使用宫颈管粘连分离术加改良式宫内节育器治疗,对照组仅使用宫颈管粘连分离术治疗,随访3个月再次宫腔镜检查比较两组预防宫颈管再粘连的效果。结果随访3个月后,实验组无1例出现宫颈再粘连,宫颈再粘连率明显低于对照组(32.0%),差异具有统计学意义(P<0.05)。实验组总有效率明显高于对照组(P<0.05)。治疗后3个月复查均能恢复月经,与治疗前比较差异具有统计学意义(P<0.05),但两组月经量比较差异无统计学意义。结论采用改良式宫内节育器治疗宫颈管粘连,在宫颈管内形成支架,能有效预防再次粘连,疗效确切,值得推广。
Objective To investigate the clinical efficacy of cervical canal adhesion and cervical intrauterine adhesions using modified IUD. Methods Fifty patients with cervical canal adhesion were randomly divided into experimental group (n = 25) and control group (n = 25). The experimental group was treated with cervical canal adhesion separation and modified IUD. The control group was treated with cervical canal adhesion isolation , Followed up for 3 months again hysteroscopy to compare the two groups to prevent cervical adhesions. Results After 3 months of follow-up, none of the patients in the experimental group had cervical reunion and cervical re-adhesion rate was significantly lower than that of the control group (32.0%). The difference was statistically significant (P <0.05). The total effective rate in experimental group was significantly higher than that in control group (P <0.05). Menstruation was recovered at 3 months after treatment, with significant difference compared with that before treatment (P <0.05), but there was no significant difference between the two groups in menstrual flow. Conclusion Modified IUD treatment of cervical canal adhesions, the formation of cervical stent, can effectively prevent re-adhesion, the exact effect, it is worth promoting.