目的:探讨重度宫腔粘连(IUA)患者行宫腔镜术治疗后放置球囊导尿管的实际价值。方法:选取中山市博爱医院2014年8月至2015年3月收治的80例重度IUA患者进行分组研究,结合临床随机表法将其平均地列入观察组与对照组,两组均行宫腔镜手术治疗,手术后,笔者在两组患者的宫腔内分别置入球囊导尿管与宫内节育器,对比两组治疗有效率、术后出血量和复发率。结果:观察组的治疗有效率是95.0%,术后出血量(168.8±4.6)m L,复发率7.5%,对照组的治疗有效率是80.0%,术后出血量(207.5±4.3)m L,复发率27.5%,差异具有统计学意义(P<0.05或P<0.01)。结论:重度IUA患者行宫腔镜手术治疗后放置球囊导尿管能够有效地提高治疗有效率,减少术后出血量和复发现象。 Objective: To investigate the practical value of placement of balloon catheters after hysteroscopic surgery in patients with severe intrauterine adhesions (IUA). Methods: Eighty patients with severe IUA admitted from August 2014 to March 2015 in Pok Oi Hospital of Zhongshan were enrolled in this study. Patients were randomly divided into observation group and control group according to randomized clinical trial. Hysteroscopy Surgical treatment, surgery, the author was placed in two groups of patients with intrauterine balloon catheter and IUD, respectively, compared two groups of treatment efficiency, postoperative bleeding and recurrence rate. Results: The effective rate of the observation group was 95.0%, the postoperative blood loss was 168.8 ± 4.6 m L and the recurrence rate was 7.5%. The effective rate of the control group was 80.0% and the postoperative blood loss was 207.5 ± 4.3 m L , Recurrence rate was 27.5%, the difference was statistically significant (P <0.05 or P <0.01). Conclusion: Placement of balloon catheter after hysteroscopic surgery in patients with severe IUA can effectively improve the treatment efficiency, reduce the amount of postoperative bleeding and recurrence.