摘要
目的比较宫腔镜微型剪刀分离手术与宫腔镜电切分离手术治疗不同程度宫腔粘连的疗效。方法将138例宫腔粘连患者随机分为剪刀分离组和电切分离组,观察其手术效果、粘连分类评分、术后子宫内膜增长厚度、手术时间、术中出血量、膨宫液出入量差等指标。结果两组有效率、宫腔粘连评分差、术后内膜增长厚度、膨宫液出入量差比较,差异均无统计学意义(P>0.05)。剪刀分离组手术时间、术中出血量均多于电切分离组,差异有统计学意义(P<0.05)。对于中度宫腔粘连,电切组宫腔粘连评分差、术中出血量少于剪刀分离组;对于各种程度的宫腔粘连,电切组手术时间均短于剪刀分离组,差异均有统计学意义(P<0.05)。对于其余指标,不同粘连程度、不同组别间比较,差异均无统计学意义(P>0.05)。结论宫腔镜微型剪刀分离手术治疗宫腔粘连的疗效与电切分离术相当,但手术时间长于电切分离术;中度宫腔粘连用微型剪刀分离可改善宫腔粘连分类评分。
Objective To compare the efficacy between hysteroscopic dissection using micro scissor and hysteroscopic electrodissection for intrauterine adhesion with different degrees.Methods A total of 138 patients with intrauterine adhesion were randomly divided into micro scissor group and electrodissection group.The surgical efficacy,score of adhesion classification,the increased thickness of postoperative endometrium,operation duration,intraoperative blood loss,the difference between distention fluid intake and output were observed.Results There were no significant differences between the two groups in the effectiveness rate,the difference between the first and the second intrauterine adhesion scores,the increased thickness of postoperative endometrium,the difference between distention fluid intake and output （P〉0.05）.The operation duration and intraoperative blood loss of the micro scissor group were longer or more than those of electrodissection group （P〈0.05）.For the moderate intrauterine adhesion,the difference between the first and the second intrauterine adhesions scores and intraoperative blood loss in the electrodissection group were less than those of the micro scissor group （P〈0.05）.For the cases of intrauterine adhesion with various degrees,the operation duration of the micro scissor group was less than that of the electrodissection group （P〈0.05）,but there were no significant differences in the other indices between the two groups （P〈0.05）.Conclusion For the intrauterine adhesion,the hysteroscopic dissection using micro scissor can achieve a similar efficacy as electrodissection,but prolongs the operation duration compared with electrodissection.Operation using micro scissor can improve the score of intrauterine adhesion classification in the case with moderate intrauterine adhesion.
出处
《微创医学》
2017年第5期625-627,644,共4页
Journal of Minimally Invasive Medicine
关键词
宫腔粘连
宫腔镜
电切术
剪刀分离术
疗效
ntrauterine adhesion
Hysteroscope
Electrotomy
Dissection using scissor
Effcacy
