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目的探讨几丁糖预防宫腔镜术后宫腔粘连的临床应用价值。方法将84例因早孕要求进行宫腔镜手术的患者按随机数字表法分组,即几丁糖5 ml子宫腔内局部应用组(实验组)及无任何干预措施组(对照组),观察两组术后宫腔改变情况。结果实验组宫腔粘连轻、中、重度粘连发生率均低于对照组,差异均有统计学意义(P<0.05)。结论宫腔内应用几丁糖可以减少宫腔镜术后宫腔粘连的发病率,是一种操作简便、疗效满意的预防方案。
Objective To investigate the clinical value of chitosan in preventing intrauterine adhesions after hysteroscopy. Methods Eighty-four patients undergoing hysteroscopic surgery due to early pregnancy were randomly divided into five groups according to the random number table, ie, 5 ml chitosan intrauterine local application group (experimental group) and no intervention group (control group) Group postoperative uterine changes. Results The incidence of mild, moderate and severe adhesions in experimental group was lower than that in control group (P <0.05). Conclusion Intrauterine application of chitosan can reduce the incidence of intrauterine adhesions after hysteroscopy, is a simple and effective preventive effect of the program.