HEOS宫腔镜与传统宫腔镜治疗宫腔粘连的效果分析

摘要

目的 探讨以HEOS宫腔镜技术在对宫腔粘连综合治疗中的应用价值及效果.方法 52例宫腔粘连Ⅱ度、Ⅳ度患者随机分为A组( HEOS宫腔镜治疗组),B组(传统宫腔镜治疗组),每组26例,评估HEOS宫腔镜治疗宫腔粘连的优越性.结果 A组中17例月经恢复正常,占65. 38% (17/26),8例月经改善30. 76% (8/26),1例闭经.B组中9例月经恢复正常,占34. 61% (9/26),10例月经改善38. 46% (10/26),7例闭经或月经极稀少. A组术后Ⅱ度及以上宫腔粘连率明显低于B组,差异有统计学意义(P<0. 05).结论 对于宫腔粘连Ⅱ度及其以上的患者,应用HEOS宫腔镜进行综合治疗的效果明显优于传统宫腔镜,由此体现了HEOS宫腔镜在未来宫腔镜手术中,尤其治疗宫腔粘连的应用价值.%Objective To investigate and compare the clinical effects of HEOS hysteroscopy and traditional hysteroscopy in treatment of intrauterine adhesions. Methods A total of 52 patients with intrauterine adhesions ( class Ⅱ-class Ⅳ) who were treated in our hospital from March 2015 to October 2017 were randomly divided into group A (n=26) and group B (n=26). The patients in group A were treated by HEOS hysteroscopy,however,the 26 patients in group B were treated by conventional hysteroscopy. The superiority of HEOS hysteroscopy in treatment of intrauterine adhesions was evaluated. Results In group A,there were 17 (65. 38% ) cases of recovery normal menstruation,8 cases (30. 76% ) of menstrual improvement,1 cases of amenorrhea. In group B,there were 9 cases (34. 61% ) of recovery normal menstruation,10 cases (38. 46% ) of menstruation improvement,7 cases of amenorrhea or rare menstruation. Conclusion For patients with intrauterine adhesions at degree Ⅱ or above,the therapeutic effects of comprehensive treatment with HEOS hysteroscopy are superior to those by traditional hysteroscopy, which suggest that HEOS hysteroscopy has important application value in treatment intrauterine adhesions.