[1]王晓婉,边爱平*,赵倩,等.中重度宫腔粘连术后应用防粘连膜的疗效分析[J].中国计划生育和妇产科,2016,(6):61-65.
　WANG Xiao-wan,BIAN Ai-ping*,ZHAO Qian,et al.Efficacy analysis of Interceed in patients with moderate-to-severe intrauterine adhesions after hysteroscopic surgery[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):61-65.
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中重度宫腔粘连术后应用防粘连膜的疗效分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年6期
页码:
61-65
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
Efficacy analysis of Interceed in patients with moderate-to-severe intrauterine adhesions after hysteroscopic surgery
作者:
王晓婉; 边爱平*; 赵倩; 景志英; 李凯丽; 孙翠翠; 张秀秀
郑州大学第一附属医院妇产科
Author(s):
WANG Xiao-wan;  BIAN Ai-ping*;  ZHAO Qian;  JING Zhi-ying;  LI Kai-li;  SUN Cui-cui;  ZHANG Xiu-xiu
Department of Gynecology and Obstetrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan 450052, P.R.China
关键词:
宫腔粘连; 宫腔粘连分离术; 防粘连膜
Keywords:
intrauterine adhesions;  transcervical resection of adhesions;  interceed
分类号:
R 711.74
摘要:
目的分析对比中重度宫腔粘连患者宫腔镜下宫腔粘连分离术（transcervical resection of adhesions，TCRA）后应用防粘连膜（Interceed）预防再次宫腔粘连的治疗效果。方法选择2013年10月至2014年10月在郑州大学第一附属医院经宫腔镜检查诊断为中重度宫腔粘连并成功实施宫腔粘连分离术的患者48例,其中A组24例术后采用防粘连膜，B组24例术后采用Foley 球囊+节育器。分析比较两组患者辅助治疗的效果，术后月经恢复、宫腔再粘连以及术后1年内妊娠情况。结果术后2月宫腔镜复查，A组显效率明显高于B组；月经量恢复情况A组优于B组，差异有统计学意义（P＜005）；术后1年妊娠率A组（33 %）高于B组（125 %），但差异无统计学意义（P＞005）。结论中重度宫腔粘连患者TCRA术后宫内放置防粘连膜辅助治疗的效果优于留置Foley球囊+节育器的效果。
Abstract:
ObjectiveTo investigate the clinical efficacy of Interceed in prevention of re-adhesion in patients with moderate-to-severe intrauterine adhesions after hysteroscopic surgery. Methods48 patients with moderate or severe intrauterine adhesion diagnosed by hysteroscopy and conducted transcervical resection of adhesions (TCRA) successfully in the First Affiliated Hospital of Zhengzhou University were randomly divided into 2 groups，in which 24 patients Interceed used were selected as Group A， and the other 24 patients Foley balloon with intra uterine device (IUD) used were selected as Group B. Result of adjuvant therapy,menstrual capacity, intrauterine re-adhesion and pregnancy rate within 1 year after surgery of two groups were assessed and compared. ResultsHysteroscope exam were conducted 2 months after surgery, the effective rate and menstrual capacity in Group A were significantly higher than those in Group B (P＜005). Pregnancy rates of two groups had no significant difference (P＞005). ConclusionComprehensive treatment combined with Interceed provides better efficacy than Foley balloon and IUD laid on the prevention of intrauterine re-adhesion after TCRA.

参考文献/References:

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更新日期/Last Update: 1900-01-01