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目的:研究宫腔粘连的临床特点,评价宫腔镜治疗的疗效,为宫腔粘连有效防治提供依据。方法:回顾分析乌鲁木齐市妇幼保健院在2011年1月~2012年1月行宫腔镜诊治的40例宫腔粘连患者的病历资料。结果:宫腔粘连主要的临床表现是月经改变,占84.62%;清宫术和人流为主的宫腔操作引起的占84.62%;行宫腔镜手术后3个月宫腔镜下疗效评估正常66.24%;I-II度粘连的治愈率明显比III-V度粘连要高。结论:宫腔镜下TCRA为治疗IUA很有效的方法,但是减少人工流产以及规范人工流产手术操作才是预防宫腔粘连的根本措施。
Objective: To study the clinical features of intrauterine adhesions, evaluate the curative effect of hysteroscopy, and provide the basis for effective prevention and treatment of intrauterine adhesions. Methods: A retrospective analysis of Urumqi MCH hospital in January 2011 ~ January 2012 hysteroscopic diagnosis and treatment of 40 cases of uterine adhesions in patients with medical records. Results: The main clinical manifestations of intrauterine adhesions were menstrual changes, accounting for 84.62%; 84.62% were caused by uterine cavity operation based on cesarean section and abortion; and hysteroscopic evaluation of hysteroscopy 3 months after hysteroscopy was normal 66.24%. The cure rate of I-II adhesions was significantly higher than that of III-V adhesions. Conclusion: Hysteroscopic TCRA is a very effective method for the treatment of IUA. However, reducing abortion and regulating abortion are the fundamental measures to prevent intrauterine adhesions.