| 摘要: |
| ［摘要］ 目的 探讨宫腔镜在人流术后宫腔粘连中的诊治效果。方法 选择2012-12～2014-12该院妇科人流术后病理确诊为宫腔粘连患者64例，比较超声、子宫输卵管造影和宫腔镜在该病中的检出率，确诊后均选择宫腔镜下宫腔粘连分离术治疗，观察分析疗效。结果 超声诊断符合率为82.81%，子宫输卵管造影诊断符合率为87.50%，宫腔镜诊断符合率为100%，宫腔镜检出率明显优于超声、子宫输卵管造影（P<0.05）。64例术后恢复总有效率为95.31%。宫腔粘连术后评分为（1.16±0.86）分，雌二醇和卵泡刺激素水平分别为（107.60±28.60）pg/ml和（5.82±0.92）mIU/ml，与术前比较差异具有统计学意义（P<0.05）。结论 宫腔镜是人流术后宫腔粘连有效的诊断方法。宫腔镜下宫腔粘连分离术是有效的治疗方法。 |
| 关键词: 宫腔镜 人流术 宫腔粘连 诊治效果 |
| DOI：10.3969/j.issn.1674-3806.2015.07.18 |
| 分类号:R 713.4 |
| 基金项目: |
|
| The clinical analysis of IUA in 64 patients after induced abortion under hysteroscopy diagnosis |
|
LI-Jing
|
|
Department of Gynecology, the People′s Hospital of Meizhou City, Guangdong 514000, China
|
| Abstract: |
| ［Abstract］ Objective To explore the treatment of intrauterine adhesion(IUA) in patients after induced abortion under hysteroscopy diagnosis.Methods 64 patients with IUA after induced abortion were diagnosed definitely in our hospital and were selected as the research objects. The detection rate of the disease were compared among the different diagnostic techniques of ultrasonic, uterus oviduct imaging and hysteroscopy. Intrauterine adhesions separation were performed on the patients under hysteroscopy surgery after diagnosis and the efficacy was analyzed.Results The diagnostic coincidence rate of ultrasoud was 82.81%, the diagnostic coincidence rate of the uterus oviduct imaging was 87.50% and the diagnostic coincidence rate of hysteroscopy was 100.00%（P<0.05）. Total effective rate of postoperative recovery in 64 cases was 95.31%. The points of IUA was （1.16±0.86）, the levels of postoperative estradiol and follicle-stimulating hormone were （107.60±28.60）pg/ml and （5.82±0.92）mIU/ml respectively, compared with pre-operation, the differences were statistically significant(P<0.05).Conclusion Hysteroscopy is an effective diagnostic method for diagnosing intrauterine adhesions after induced abortion surgery. Hysteroscopy is an effective treatment method for intrauterine adhesion separation. |
| Key words: Hysteroscope Induced abortion Intrauterine adhesion(IUA) Treatment |
