论文部分内容阅读
目的:研究球囊联合几丁糖在重度宫腔粘连分离术后预防再粘连疗效。方法:采用回顾性分析的方法对该院妇科门诊在2008年11月~2013年11月期间收治的符合研究标准的68例行宫腔镜宫腔粘连术(TCRA)的宫腔粘连患者临床资料进行分析,将病例平均分为研究组和对照组,研究组行球囊联合几丁糖术预后,对照组行球囊术预后,最后比较分析术后疗效以及随访期间宫腔再粘连情况。结果:与对照组相比,研究组总有效率为94.1%,二者差异具有统计学意义(χ2=22.51,P=0.032);总复发率为14.7%,低于球囊组(P<0.05);周期性腹痛得到显著改善,缓解率为100.0%,高于球囊组(P<0.05)。结论:球囊联合几丁糖在重度宫腔粘连分离术后预防再粘连效果显著,优于单独使用球囊组,安全、有效,值得临床推广使用。
Objective: To study the effect of balloon combined with chitosan on the prevention of re-adhesion after severe intrauterine adhesions. Methods: A retrospective analysis of the hospital gynecology clinic in November 2008 ~ November 2013 admitted to meet the research criteria of 68 cases of hysteroscopic hysteroscopy (TCRA) of the clinical data of patients with intrauterine adhesions Analysis, the cases were equally divided into the study group and the control group, the study group balloon combined with chitosan surgery prognosis, the control group balloon operation prognosis, the final analysis of postoperative efficacy and intrauterine adhesions during follow-up. Results: Compared with the control group, the total effective rate was 94.1% in the study group, with significant difference (χ2 = 22.51, P = 0.032); the total recurrence rate was 14.7% ); Cyclical abdominal pain was significantly improved, the response rate was 100.0%, higher than the balloon group (P <0.05). CONCLUSION: The combination of balloon and chitosan can prevent re-adhesion after severe intrauterine adhesions, which is better than balloon alone. It is safe and effective and worth to be used clinically.