论文部分内容阅读
目的探讨宫腔镜手术治疗宫腔粘连的临床疗效。方法回顾性分析宫腔镜宫腔粘连分离术治疗宫腔粘连60例的情况。结果 53例宫腔粘连均在宫腔镜下顺利完成手术,7例发生并发症。术后3~6个月宫腔镜下随访发现:宫腔形成完好29例,治愈率48.33%,宫腔形成基本满意20例(33.33%),总有效率81.66%。术后月经恢复情况:恢复正常月经27例,治愈率45%;较术前明显增多,但未恢复正常月经20例(33.33%),总有效率78.33%。术后妊娠29例,妊娠率48.33%。结论宫腔镜是诊疗宫腔粘连的一种最有效的方法。
Objective To investigate the clinical effect of hysteroscopic surgery in treating intrauterine adhesions. Methods Retrospective analysis of hysteroscopic adhesions in the treatment of intrauterine adhesions in 60 cases. Results 53 cases of intrauterine adhesions were successfully completed under hysteroscopic surgery, complications occurred in 7 cases. Hysteroscopic follow-up 3 to 6 months after operation revealed that uterine cavity was well formed in 29 cases and the cure rate was 48.33%. The uterine cavity was basically satisfied in 20 cases (33.33%) with a total effective rate of 81.66%. Postoperative menstrual recovery: 27 cases of normal menstruation returned to normal, the cure rate was 45%, which was significantly higher than that before operation. However, 20 cases (33.33%) did not resume normal menstruation, the total effective rate was 78.33%. Postoperative pregnancy in 29 cases, the pregnancy rate was 48.33%. Conclusion Hysteroscopy is the most effective method of diagnosis and treatment of intrauterine adhesions.