雌孕激素序贯疗法预防宫腔镜下子宫纵隔电切术后宫腔粘连的价值探讨

雌孕激素序贯疗法预防宫腔镜下子宫纵隔电切术后宫腔粘连的
价值探讨
许秀霞;郭志坚;林彤;吴巧珠;吴淑卿
【期刊名称】《蚌埠医学院学报》
【年(卷),期】2017(42)2
【摘要】Objective:To observe the effects of hysteroscopic uterine septum resection,and evaluate the value of sequential estrogen and progestogen therapy on preventing the postoperative intrauterine adhesion. Methods:Sixty patients with uterine mediastinum were randomly divided into the control group and observation group ( 30 cases each group ) . Two groups were treated with hysteroscopic uterine septum resection. The intrauterine device in two groups were placed after operation,and the observation groups were treated with sequential estrogen and progestogen artificial cycle therapy. All patients were reexamined using hysteroscopy after 3 months of operation, and the intrauterine adhesion between two groups were compared. All patients were followed up for 1 year, and the pregnancy and menstrual condition between two groups were compared. Results:All operations were successfully completed, and no obvious complication was found in two groups. The difference of the intrauterine adhesion after 3 months of operation between two groups was not statistically significant(P>0. 05). After 1 year of operation,the differences of the rates of menstrual disorder,profuse menstruation and
pregnancy between two groups were not statistically significant(P>0. 05). Conclusions:The hysteroscopic uterine septum resection is safe and effective, which can effectively improve the pregnancy rate. The effect of sequential estrogen and progestogen therapy on preventing the postoperative intrauterine adhesion is not obvious.%目的:观察宫腔镜下子宫纵隔电切术的疗效,评价术后应用雌孕激素序贯疗法预防宫腔粘连的价值.方法:选取子宫纵隔患者60例,随机分为对照组和观察组,各30例.2组患者均行腹腔镜监视下宫腔镜子宫纵隔电切术,对照组术后放置宫内节育器(金属圆环);观察组放置宫内节育器(金属圆环),并采用雌孕激素序贯人工周期疗法.所有患者于术后3个月行宫腔镜复查,比较2组宫腔粘连情况;继续随访至术后1年,比较2组患者妊娠及月经情况.结果:所有患者均顺利完成手术,无明显并发症发生.2组患者术后3个月宫腔粘连率差异无统计学意义(P>0.05);2组术后1年经期紊乱、经量增多及妊娠率差异亦均无统计学意义(P>0.05).结论:宫腔镜下子宫纵隔电切术安全有效,能有效提高患者妊娠率,但术后应用雌孕激素序贯疗法预防宫腔粘连未见明显价值.
【总页数】3页(P182-184)
【作者】许秀霞;郭志坚;林彤;吴巧珠;吴淑卿
【作者单位】广东省汕头市中心医院妇产科,515031;广东省汕头市中心医院妇产科,515031;广东省汕头市中心医院妇产科,515031;广东省汕头市中心医院妇产科,515031;广东省汕头市中心医院妇产科,515031
【正文语种】中文
【中图分类】R713.4
【相关文献】
1.宫腔镜下子宫纵隔电切术术后两种预防宫腔粘连方法的临床探讨 [J], 黄燕妮
2.COOK球囊联合雌孕激素序贯治疗预防宫腔镜下宫腔粘连分离术后宫腔再粘连的临床效果观察 [J], 侯安丽;刘慧兰;周秀英
3.不同程度宫腔粘连行宫腔镜下粘连分解术联合雌孕激素序贯疗法对妊娠率的影响[J], 曾燕
4.宫腔镜下宫腔粘连电切术后宫腔放置子宫球囊支架或宫内节育器预防宫腔粘连的临床研究 [J], 夏燕卿;杨艳明;何玉玫;何家纯
5.宫腔镜下宫腔粘连电切术联合Foley球囊导尿管治疗宫腔粘连及预防再粘连的效果分析 [J], 朱银凤
因版权原因，仅展示原文概要，查看原文内容请购买。