宫腔镜Ⅱ度宫腔粘连切除术后放置与不放置球囊预防复粘疗效分析

Efficacy of Foley balloon combining with uterine adhesions to prevent the recurrence of intrauterine adhesions after resection of intrauterine adhesions

摘要:

目的??观察Foley球囊联合芬吗通序贯疗法预防宫腔镜下Ⅱ度宫腔粘连（IUA）切除术后复发的临床效果。方法?60例Ⅱ度IUA患者随机分为两组，行宫腔镜IUA切除术（TCRA）。观察组30例术后口服芬吗通序贯疗法预防IUA复发，对照组30例术后宫腔放置Foley球囊5～7 d加口服芬吗通序贯疗法干预1或2个周期，术后随访1或2个月，宫腔镜检查评估两组IUA复发情况。结果?观察组术后2个月IUA复发率3.33%，对照组术后2个月复发率3.33%。两组无差异。结论?Ⅱ度IUA行TCRA，术后使用Foley球囊联合芬吗通序贯疗法与术后仅使用芬吗通序贯疗法预防IUA，术后IUA复发率无差异。

Abstract:

Objective?To observe the efficacy of Foley balloon combining with uterine adhesions to prevent the recurrence of intrauterine adhesions after resection of intrauterine adhesions.?Methods?Patients underwent resection of intrauterine adhesions were randomized into two groups. 30 patients in control group underwent the therapy of uterine adhesions to prevent the relapse intrauterine. On the other hand, the study group with 30 patients were placed Foley balloon for 5 ~ 7 days and combined with the therapy of uterine adhesions to intervention for 1 ~ 2 weeks. All patients were followed-up for 1 ~ 2 months, and the result of the intrauterine adhesion were assessed by hysteroscopy.?Results?The rate of the relapse in control group was 3.33%; the study group had the same result (the rate was 3.33%). There was no difference between these two groups.?Conclusions?The rate of recurrent intrauterine adhesions is no different between the control group of only use therapy of uterine adhesions and replacement of Foley balloon combining with therapy of uterine adhesions as intervention.