[1]陶晓玲,张元珍*,王燕,等.稽留流产术后早期随访对宫腔粘连的预防价值[J].中国计划生育和妇产科,2016,(6):41-45.
　TAO Xiao-ling,ZHANG Yuan-zhen*,WANG Yan,et al.The preventive value of early follow-up for the Asherman’s syndrome after the missed abortion operation[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):41-45.
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稽留流产术后早期随访对宫腔粘连的预防价值
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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:
41-45
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
The preventive value of early follow-up for the Asherman’s syndrome after the missed abortion operation
作者:
陶晓玲1; 2; 张元珍1*; 王燕2; 熊俊2
1. 430071湖北武汉，武汉大学医学院；2. 430070湖北武汉，湖北省妇幼保健院
Author(s):
TAO Xiao-ling1; 2; ZHANG Yuan-zhen1*; WANG Yan2; XIONG Jun2
1. Medical college of Wuhan University，Wuhan Hubei 430071，P.R.China；2. Maternal and Child Health Hospital of Hubei Province，Wuhan Hubei 430070，P.R.China
关键词:
稽留流产; 宫腔粘连; 预防
Keywords:
missed abortion; Asherman’s syndrome; prevention
分类号:
R 71421
摘要:
目的探讨稽留流产术后早期随访干预对宫腔粘连的预防价值。方法选择湖北省妇幼保健院2013年10月至2014年10月入院行稽留流产清宫手术的患者400例，依据患者自愿原则分为研究组及对照组，各200例。研究组于术后第1、3、6月进行随访及早期干预，术后6月后行孕前准备并试孕；对照组术后42 d接受电话随访，其后不经过随访，于术后第7个月起行孕前检查并试孕。对比两组患者的月经复潮时间、月经量情况、术后第6月卵泡晚期子宫内膜厚度、术后行宫腔镜检查结果及术后6~12月受孕率。结果研究组在术后月经复潮时间及月经量等方面与对照组比较差异无统计学意义（P＞005)，但在术后第6月卵泡晚期子宫内膜厚度、术后行宫腔镜检查结果及术后1年内受孕率等方面与对照组比较差异有统计学意义（P＜005)。 结论加强稽留流产清宫术后的随访观察，监测其月经、子宫内膜情况，适时进行宫腔镜检查，早期诊断宫腔粘连，对改善患者预后，保护妇女生殖功能具有重要意义。
Abstract:
ObjectiveTo investigate the preventive value of early follow-up for the Asherman’s syndrome after the missed abortion operation. Methods400 patients who had received the missed abortion operation from October 2013 to October 2014 in the Maternal and Child Health Hospital of Hubei Province were collected and divided into two groups equally and voluntarily. The research group was followed-up and given early intervention in the 1th, 3th, 6th month after the operation, and did progestation preparation, pregnancy test from the 7th month. And the control group was followed-up with telephone 42 days after the operation only， did progestation preparation, pregnancy test from the 7th month. Time of menses, menstrual blood volume and the endometrial thickness of the two groups were compared in the 6th month late follicular phase after operation. The result of hysteroscopy and conception rate of them were also compared from 7th to 12th month after operation. ResultsThe two groups have no statistical difference on the time of menses and menstrual blood volume， but they have obvious statistical difference on the endometrial thickness in the 6th month late follicular phase after operation. The result of hysteroscopy and conception rate of the two groups from 7th to 12th after operation are also different statistically. ConclusionIt could improve the prognosis of patients and protect female’s reproductive function better by strengthening early follow-up after the missed abortion operation, surveying the time of menses and endometrial thickness, doing hysteroscopy to discovery and treatment Asherman’s syndrome in time.

参考文献/References:

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更新日期/Last Update: 1900-01-01