摘要
目的 评价子宫球囊支架放置宫腔7d的安全性及患者接受度.方法 对象为2012年6月至2013年12月浙江大学附属邵逸夫医院因中重度宫腔粘连行粘连分离手术的患者,共79例.根据宫腔内放置物理屏障分为子宫球囊支架组（51例）和带尾丝节育器组（28例）,对宫颈分泌物行通用细菌培养,并对球囊支架使用者满意度调查.结果 82.3％（42/51）患者能够很好地耐受球囊放置期间的不适感,86.3％ （44/51）的患者表示如有需要愿意再次使用球囊.球囊支架组细菌培养阳性率为33.3％（17/51）,节育器组细菌培养阳性率28.6％ （8/28）,两组患者细菌感染率及细菌感染种类均差异无计学意义.结论 球囊支架在宫内放置1周的时间是相对安全的,同时患者对球囊支架放置宫腔也有较好的接受度。
Objective To evaluate the safety and acceptability of COOK intrauterine balloon stent in uterine for one week after hysteroscopic adhesiolysis.Methods A total of 79 females with moderatesevere Asherman syndrome undergoing hysteroscopic division of intrauterine adhesion were enrolled from June 2012 to December 2013.They were divided into two groups of intrauterine balloon stent （n =51） and tailed intrauterine contraceptive device （n =28）.The sterile swabs were taken from cervical canals for bacterial culture by the same microbiologist.Each patient in balloon group was requested to answer a questionnaire survey on the acceptability of balloon stent.Results 82.3％ of them could tolerate discomforts during balloon placement and 86.3％ desired re-ballooning if necessary.Positive microorganism cultures were seen in 17 patients （33.3％） in balloon group versus 8 （28.6％） in intrauterine contraceptive device group.And the positive rate was not different between two groups.Conclusion It is relatively safe to maintain the intrauterine balloon stent in uterine for one week.And most patients accept readily the intrauterine balloon stent.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2014年第39期3095-3097,共3页
National Medical Journal of China
基金
国家自然科学基金（81270657）
浙江省科技厅公益性应用研究计划（2013c33236）
关键词
子宫球囊支架
宫内节育器
宫腔粘连
Intrauterine balloon stent
Intrauterine device
Asherman syndrome
