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目的对两种方法预防宫腔镜下宫腔粘连分解术后再粘连的效果进行对比。方法选择2010年1月—2012年1月收治的宫腔粘连患者120例,随机分为对照组和观察组各60例,两组均给予宫腔镜下宫腔粘连分解术,对照组术后根据患者宫颈口的粘连程度确定置入节育器的形状,3~6个月后在宫腔镜下把节育器取出,给予预防感染治疗。观察组在对照组基础上术后第2天给予戊酸雌二醇每次2 mg,3次/d,连续用药3个月。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果宫腔再粘连率对照组20.00%,观察组6.67%,两组比较差异有统计学意义(χ2=4.615,P<0.05)。结论宫腔镜下宫腔粘连分解术后放置宫内节育器后使用戊酸雌二醇进行治疗,能够有效预防再粘连的发生,值得广泛推广使用。
Objective To compare the two methods to prevent the effect of hysteroscopic adhesions after hysteroscopic adhesions. Methods 120 patients with intrauterine adhesions admitted from January 2010 to January 2012 were randomly divided into control group and observation group of 60 cases. Hysteroscopic intrauterine adhesions were performed in both groups. In the control group, According to the degree of adhesion of patients with cervical orifice to determine the shape of IUD insertion, 3 to 6 months after hysteroscopic IUD removal, given to prevent infection treatment. On the basis of the control group, the observation group was given estradiol valerate 2 mg every 3 days for 3 consecutive days on the second postoperative day. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The intrauterine reattached rate was 20.00% in the control group and 6.67% in the observation group. There was significant difference between the two groups (χ2 = 4.615, P <0.05). Conclusion Hysteroscopic intrauterine adhesions after intrauterine device implantation after the use of estradiol valerate treatment, can effectively prevent the occurrence of reunion, it is widely used.