宫腔镜诊治110例宫腔粘连的临床分析

摘要

Objective To explore the significance of hysteroscopic diagnosis and treatment of intrauterine adhesion.Methods Retrospective study was employed to analyze the clinical data of 110 patients with intrauterine adhesion which underwent hysteroscopic transcervical resection of adhesion during the period Feberary 2008 to June 2010.Results More intrautertne surgical proce dures in a gravid uterine cavity led to a greater possibility of severe intrauterine adhesions ( P ＜0.05).Clinical manifestation of 90.00％ ( 99/110) of patients with intrauterine adhesions was abnormal menstruation, including hypomenorrhea, amenorrhea and menstrual disorder.3 month after operation,hysteroscopy was used to follow up the recovery of 64 patients with intrauterine adhesion and it revealed that the overall effective rate was 84.38％ (54/64).It was found that patients with milder degree of intrauterine adhesion before operation recovered with better therapeutic efficacy(P＜0.05).The probability of postoperative recurrence of severe intrauterine adhesion was 26.67％ (8/30) for patients with severe degree of intrauterine adhesion before operation.Conclusion Hysteroscopy is an effective method to diagnose and treat intrauterine adhesion.%目的 探讨宫腔镜对宫腔粘连的诊治作用.方法 回顾性分析2008年2月至2010年6月110例因宫腔粘连行宫腔镜宫腔粘连电切术患者的临床资料.结果 妊娠期宫腔手术操作次数越多,发生严重宫腔粘连的可能性越大(P＜0.05).90.00%(99/110)宫腔粘连患者临床表现为月经异常,如月经量减少、闭经和月经紊乱等.术后第3个月应用宫腔镜随访64例宫腔粘连患者宫腔恢复情况,总有效率为84.38%(54/64),术前宫腔粘连程度越轻,治疗效果越好(P＜0.05),术前宫腔粘连程度严重的患者,术后再次发生严重宫腔粘连的概率为26.67%(8/30).结论 宫腔镜是诊治宫腔粘连的有效方法.