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目的:比较医用几丁糖与宫内节育器两种方法在宫腔镜下宫腔粘连分解术后预防再粘连的疗效。方法:对2011年1月至2012年6月宫腔粘连在我院行宫腔镜下宫腔分解术患者进行回顾性分析。术后宫腔内放置节育环(IUD)51例为IUD组,宫腔注入几丁糖52例为几丁糖组。结果:几丁糖组再粘连率7.7%,月经改善有效率94.2%,妊娠率68.5%;IUD组再粘连率21.6%,月经改善有效率78.4%,妊娠率41.6%,两组参数比较差异均具有统计学意义。结论:宫腔粘连分离术后使用医用几丁糖较宫内节育器更有效降低再粘连的发生,提高月经改善有效率及妊娠率,其作用优于安置宫内节育器。
OBJECTIVE: To compare the efficacy of medical chitosan and intrauterine device in the prevention of re-adhesion after hysteroscopic intrauterine adhesions. Methods: A retrospective analysis of hysteroscopic intrauterine adhesions in our hospital from January 2011 to June 2012 was conducted. Postoperative intrauterine placement of IUD 51 cases for the IUD group, intrauterine injection of chitosan 52 cases of chitosan group. Results: The re-adhesion rate of chitosan group was 7.7%, the effective rate of menstruation was 94.2% and the pregnancy rate was 68.5%. The rate of re-adhesion in IUD group was 21.6%, the effective rate of menstruation was 78.4% and the pregnancy rate was 41.6% has statistical significane. Conclusion: The use of medical chitosan after intrauterine adhesions separation is more effective than IUD in reducing the incidence of reunion and improving menstrual improvement and pregnancy rate, which is better than placement of IUD.