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目的:比较宫腔镜下行宫腔粘连分离术(TCRA)治疗中重度宫腔粘连后宫腔内放置O型和T型节育器对预防宫腔再粘连的疗效。方法:回顾性分析2007年4月~2009年9月在新疆医科大学第一附属医院就诊、宫腔镜检查诊断宫腔粘连并成功分离粘连的80例患者,其中41例术毕宫腔内放置O型节育器为研究组,39例术毕宫内放置T型节育器为对照组,术后3个月再次行宫腔镜检查了解宫腔形态并取出节育器,进行近期疗效评价。结果:术后3个月,研究组41例中38例(92.7%)宫腔镜手术1次分离成功,术后宫腔再粘连3例(7.3%)。对照组39例中30例(76.9%)宫腔镜手术第1次分离成功,术后宫腔再粘连9例(23.1%)。两组宫腔再粘连率比较差异有统计学意义(P<0.05)。结论:中、重度宫腔粘连分离术后宫腔内放置O型节育器较术后放置T型节育器更能有效预防宫腔再粘连。
OBJECTIVE: To compare the curative effect of hysteroscopic hysteroscopic adhesions (TCRA) on preventing intrauterine reattachment after intrauterine administration of O-type and T-type IUDs in the treatment of moderate-severe uterine adhesions. Methods: From April 2007 to September 2009, 80 patients with hysteroscopy diagnosed as intrauterine adhesions and successfully isolated adhesions were retrospectively analyzed. Among them, 41 cases underwent intrauterine implantation O-type IUD as research group, 39 cases of intrauterine placement of T-type IUD as the control group, 3 months after hysteroscopy again hysteroscopy to understand the morphology of the uterus and remove the IUD for short-term efficacy evaluation. Results: Three months after operation, 38 cases (92.7%) in hysterosalpingography group were successfully separated by hysteroscopy and 3 cases (7.3%) were treated by intrauterine adhesions. In the control group, 30 cases (76.9%) were successfully treated with hysteroscopy for the first time and 9 cases (23.1%) were intrauterine adhesions. The rate of intrauterine reocclusion in the two groups was significantly different (P <0.05). CONCLUSION: O-IUD placement in uterine cavity after moderate and severe intrauterine adhesions separation is more effective in preventing intrauterine re-adhesion than T-type IUD insertion.