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目的:观察宫腔粘连宫腔镜电切分离术后预防再次粘连的疗效。方法:选取2011年3月-2015年6月我院收治的84例行宫腔粘连宫腔镜电切分离术患者作为观察目标,按照1∶1比例分为对照组和研究组,对照组42例患者术后常规放置宫内节育器,研究组42例患者术后置入Foley球囊导尿管,同时注入医用几丁糖2ml,术后两组均使用人工周期调月经治疗,比较两组治疗效果。结果:研究组治疗总有效率与对照组治疗总有效率比较结果显示,差异具有统计学意义(P<0.05),且研究组再粘连率显著低于对照组(P<0.05)。结论:宫腔粘连宫腔镜电切分离术后置入Foley球囊导尿管及宫腔注入几丁糖预防再次粘连的效果优于常规放置宫内节育器,值得临床选择和进一步推广。
OBJECTIVE: To observe the curative effect of prevention of re-adhesions after hysteroscopic resection of uterine cavity. Methods: From March 2011 to June 2015, 84 cases of hysteroscopic hysteroscopic resection in our hospital were selected as observation targets and divided into control group and study group according to a ratio of 1: After the operation, the IUDs were routinely placed in the study group. Forty-two patients in the study group were treated with Foley balloon catheter and 2 ml chitosan for medical use. Both groups were treated with artificial menstrual cycle menstruation, effect. Results: The total effective rate of the study group compared with the total effective rate of the control group showed that the difference was statistically significant (P <0.05), and the rate of re-adhesion in the study group was significantly lower than that of the control group (P <0.05). Conclusion: The results of intrauterine adhesions hysteroscopic resection after Foley balloon catheter insertion and intrauterine injection of chitosan to prevent adhesions better than conventional placement of IUD, worthy of clinical choice and further promotion.