论文部分内容阅读
目的:比较金属圆环联合INTERCEED留置+人工周期与金属圆环留置+人工周期两种方法在预防中、重度宫腔粘连分离术后再粘连的疗效。方法:回顾分析2012年1月-2013年12月在中山大学孙逸仙纪念医院行宫腔粘连电切术的患者,选取中、重度粘连的患者185例,随机分两组,A组98例,术后宫腔留置金属圆环及INTERCEED;B组87例,术后宫腔留置金属圆环,两组均继以戊酸雌二醇人工周期治疗。结果:宫腔形态恢复情况:A组有效率及月经恢复率比B组明显提高(95.9%vs 72.4%,93.9%vs 67.8%,均P<0.05)。有生育需求且治疗后符合妊娠条件的患者A组为87例,B组为53例,两组成功妊娠率比较无差异(P>0.05)。结论:金属圆环联合INTERCEED留置+人工周期治疗明显减少中、重度宫腔粘连术后再粘连的发生,较金属圆环+人工周期治疗有明显的优势,值得临床推广。
OBJECTIVE: To compare the efficacy of metal ring with INTERCEED indwelling + artificial cycle and metal ring indwelling + artificial cycle in the prevention of re-adhesion after moderate and severe intrauterine adhesions. Methods: One hundred and eighty-five patients with moderate and severe adhesions were retrospectively analyzed from January 2012 to December 2013 in Sun Yat-sen Memorial Hospital of Sun Yat-sen University. One hundred and eighty patients were randomly divided into two groups. Group A (n = 98) Intrauterine ligation of metal rings and INTERCEED; B group of 87 cases, after the uterine luteal metal rings, two groups were followed by valerate valerate artificial cycle treatment. Results: The recovery of uterine morphology: The effective rate and the recovery rate of menstruation in group A were significantly higher than those in group B (95.9% vs 72.4%, 93.9% vs 67.8%, both P <0.05). There were 87 cases in group A and 53 cases in group B who had fertility requirements and were eligible for pregnancy. There was no difference in the successful pregnancy rates between the two groups (P> 0.05). CONCLUSION: Metal ring combined with INTERCEED indwelling + artificial cycle therapy significantly reduces the occurrence of re-adhesion after moderate and severe intrauterine adhesions, which has obvious advantages over metal ring + artificial cycle treatment and is worthy of clinical promotion.