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目的探讨宫腔镜下宫腔粘连分离术对宫腔形态恢复和月经改善情况的效果。方法选择2012年1月-2016年2月在大涌医院妇科接受治疗的100例患者为研究对象。随机分为观察组和对照组,观察组采用宫腔镜检查术+术后放置宫腔支撑球囊+雌孕激素序贯疗法。对照组采用雌孕激素序贯疗法。结果观察组术后3个月复查宫腔恢复总有效率为96.00%,对照组为80.00%,两组比较,差异有统计学意义(P<0.05);观察组月经恢复总有效率为94.00%,对照组为76.00%,两组比较,差异有统计学意义(P<0.05),观察组治疗后E2水平高于同组治疗前(P<0.05);对照组治疗后E2水平高于同组治疗前(P<0.05)。观察组子宫内膜变厚、子宫内膜连续性变好率均高于对照组(P<0.05)。结论宫腔镜检查术+术后放置宫腔支撑球囊+雌孕激素序贯疗法治疗对患者宫腔形态恢复有积极作用,患者月经恢复和E2水平改善较好。
Objective To investigate the effect of hysteroscopic intrauterine adhesions on the restoration of uterine cavity morphology and menstruation. Methods From January 2012 to February 2016, 100 patients who received gynecological treatment at Dayong Hospital were selected as the study subjects. Randomly divided into observation group and control group, the observation group using hysteroscopy + postoperative uterine support balloon + estrogen and progesterone sequential therapy. Control group with sequential therapy of estrogen and progesterone. Results The total effective rate of uterine cavity recovery in observation group was 96.00% at 3 months postoperatively, and was 80.00% in control group. The difference between the two groups was statistically significant (P <0.05). The total effective rate of menstruation recovery in observation group was 94.00% , And the control group was 76.00%. The difference between the two groups was statistically significant (P <0.05). The E2 level of the observation group was higher than that of the control group before treatment (P <0.05). The E2 level of the control group was higher than that of the control group Before treatment (P <0.05). In the observation group, the thickening of the endometrium and the improvement of the continuity of the endometrium were all higher than those in the control group (P <0.05). Conclusions Hysteroscopy + postoperative placement of intrauterine support balloon + estrogen / progesterone sequential therapy has a positive effect on the recovery of uterine morphology in patients. The recovery of menstruation and the improvement of E2 level are better.