摘要
目的探讨宫腔镜手术治疗宫腔粘连的临床疗效。方法回顾性分析宫腔镜宫腔粘连分离术治疗宫腔粘连60例的情况。结果 53例宫腔粘连均在宫腔镜下顺利完成手术,7例发生并发症。术后3-6个月宫腔镜下随访发现:宫腔形成完好29例,治愈率48.33%,宫腔形成基本满意20例(33.33%),总有效率81.66%。术后月经恢复情况:恢复正常月经27例,治愈率45%;较术前明显增多,但未恢复正常月经20例(33.33%),总有效率78.33%。术后妊娠29例,妊娠率48.33%。结论宫腔镜是诊疗宫腔粘连的一种最有效的方法。
Objective To explore the clinical efficacy of intrauterine adhesion with hysteroscopy. Methods Sixty cases of intrauterine adhesion treated by transcervical resection of adhesions were retrospectively reviewed. Results Fifty-three cases were successfully completed.Postoperative complications occurred in 7 cases.After 3~6 months follow-up,uterine cavity formed well in 29 cases,with the curative rate of 48.33%.Uterine cavity formed basic-satisfactorily in 20 cases,with the curative rate of 33.33%.The total effective rate was 81.66%.The status of postoperative menstruation recovery showed that menstruation resumed normal in 27 cases,with the curative rate of 45%.The amount of menstrual blood loss was significantly more than that before the treatment but did not resume normal in 20 cases,with the total effective rate of 78.33%.The postoperative pregnancies occurred in 29 cases,with the pregnancy rate of 48.33%. Conclusion Hysteroscopy is the most effective method for intrauterine adhesion.
出处
《实用预防医学》
CAS
2010年第12期2449-2451,共3页
Practical Preventive Medicine
关键词
宫腔镜
宫腔粘连
宫腔粘连分离术
Hysteroscopy
Intrauterine adhesion
Transcervical resection of adhesions