目的探讨HEOS下微型剪刀分离术治疗宫腔粘连的疗效。方法选取94例宫腔粘连患者,随机分为对照组与治疗组,各47例。对照组采用传统宫腔镜下电切术治疗,治疗组采用HEOS下微型剪刀分离术治疗。比较两组患者手术指标及临床治疗效果。结果治疗组手术时间、术中出血量、膨宫液使用量均短于或少于对照组(均P<0.05)。治疗组治疗总有效率、月经改善率均高于对照组,术后宫腔再粘连发生率低于对照组(均P<0.05)。结论采用HEOS下微型剪刀分离术治疗宫腔粘连具有手术时间短、术中出血量及膨宫液使用量少、宫腔再粘连发生率低、有效改善患者月经情况等优势,疗效确切。
ObjectiveTo investigate the efficacy of resection using micro-scissors under HEOS for intrauterine adhesion. MethodsA total of 94 patients with intrauterine adhesion were enrolled and were randomly divided into control group and treatment group, with 47 cases in each group. The control group was treated with conventional hysteroscopic electrotomy, and the treatment group with resection using micro-scissors under HEOS. The surgical indices and clinical therapeutic effect were compared between the two groups. ResultsThe operation duration, intraoperative blood loss and the volume of uterine distension fluid in the treatment group were shorter or less than those in the control group (all P<0.05).The total effectiveness rate and menstrual improvement rate were higher and the incident rate of postoperative intrauterine re-adhesion was lower in the treatment group compared to the control group (all P<0.05). ConclusionFor the treatment of intrauterine adhesion, resection using micro-scissors under HEOS has the advantages of short operation duration, small volume of intraoperative blood loss and uterine distention fluid, low incidence of intrauterine re-adhesion, and effective improvement of patients′ menstruation, and has definite curative effect.