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目的探讨宫腔镜下子宫内膜息肉电切术后宫腔内放置Foley球囊尿管预防宫腔粘连的临床疗效。方法选取2012年1月—2014年3月于万安县人民医院收治的子宫内膜息肉患者90例,按照就诊单、双号随机分为研究组和对照组,各45例。研究组患者术后给予在宫腔内放置Foley球囊尿管,对照组肉患者于术后给予戊酸雌二醇片。观察两组患者术后宫腔粘连发生率、不良反应发生率。结果研究组患者宫腔粘连发生率低于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论宫腔镜下子宫内膜息肉电切术的同时在宫腔内放置Foley球囊尿管可以有效地预防宫腔粘连,且不良反应发生率低。
Objective To investigate the clinical effect of hysteroscopic endometrial polyps resection with intrauterine placement of Foley balloon catheter in the prevention of intrauterine adhesions. Methods Ninety patients with endometrial polyps who were treated in Wanan People’s Hospital from January 2012 to March 2014 were selected and randomly divided into study group and control group according to the treatment list and the double numbers, 45 cases in each group. Patients in the study group were given Foley balloon catheters in the uterine cavity and those in the control group were given estradiol valerate tablets after operation. The incidence of intrauterine adhesions and the incidence of adverse reactions in the two groups were observed. Results The incidence of intrauterine adhesions in the study group was lower than that in the control group, and the incidence of adverse reactions was lower than that in the control group. The difference was statistically significant (P <0.05). Conclusion hysteroscopic endometrial polyps resection while placed in the uterine cavity Foley balloon catheter can effectively prevent intrauterine adhesions, and the incidence of adverse reactions is low.