摘要
目的:分析与探讨将透明质酸钠应用于宫腔镜术后患者的价值,并研究其对预防术后宫腔粘连临床疗效的影响及评价。方法:将2015年3月-2017年3月经本院临床确诊后进行宫腔镜手术治疗的88例患者选为临床研究对象,采用随机数字表法分成对照组和观察组,每组44例。对照组给予宫腔镜术后常规处理,观察组采用透明质酸钠进行预防治疗。比较两组术后宫腔粘连的发生情况、阴道出血时间、月经复潮时间以及并发症发生情况。结果:观察组术后宫腔粘连发生率为4.55%、阴道流血时间为(4.45±1.04)d、月经复潮时间为(29.87±2.91)d、并发症发生率为9.09%,均明显优于对照组的29.55%、(8.36±1.81)d、(34.53±2.64)d、34.09%,差异均有统计学意义(P<0.05)。结论:宫腔镜术后患者应用透明质酸钠进行治疗,临床效果确切,能够有效预防患者宫腔粘连的发生情况,同时具有良好的止血及预防感染的效果,有助于促进患者月经尽快恢复,减少术后并发症的发生情况,满足患者期望值。
Objective:To analyze and discuss the application value of Sodium Hyaluronate in postoperative patients with hysteroscopy,and to study the influence and evaluation of the clinical efficacy of the prevention of postoperative adhesions.Method:From March 2015 to March 2017,88 patients treated by hysteroscopy in our hospital were selected as clinical research objects.They were randomly divided into the control group and observation group,44 cases in each group.The control group received routine treatment after hysteroscopy,and the observation group was treated with Sodium Hyaluronate.The occurrence of postoperative intrauterine adhesions,the time of vaginal bleeding,the time of menstrual recovery and the occurrence of complications were compared between the two groups.Result:The incidence of intrauterine adhesions in the observation group was 4.55%,vaginal bleeding time was(4.45±1.04)d,menstrual reflow time was(29.87±2.91)d,the complication rate was 9.09%,which was significantly better than 29.55%,(8.36±1.81)d,(34.53±2.64)d,34.09%in the control group,the differences were statistically significant(P<0.05).Conclusion:The patients are treated with Sodium Hyaluronate after hysteroscopic surgery,clinical efficacy,can effectively prevent the occurrence of patients with intrauterine adhesion,and also has good hemostasis and infection prevention effect,helps to promote the patients’menstrual recovery as soon as possible,to reduce the incidence of postoperative complications,meet patient expectations.
作者
胡岳敏
罗小丹
黄湛婷
HU Yuemin;LUO Xiaodan;HUANG Zhanting(Gaozhou Maternal and Child Health Care Centre,Gaozhou 525200,China)
出处
《中国医学创新》
CAS
2017年第36期41-44,共4页
Medical Innovation of China
关键词
宫腔镜术后
透明质酸钠
宫腔粘连
After hysteroscopy
Sodium Hyaluronate
Intrauterine adhesions