摘要
目的探讨Foley球囊按摩对宫腔粘连术后预防再粘连的影响。方法选取2018年2月至2020年2月于本院行宫腔粘连术的90例患者作为研究对象,采用随机数字表法分为激素组和按摩组,每组45例。激素组给予几丁聚糖治疗,按摩组行Foley球囊按摩治疗,比较两组子宫内膜血流指标及再粘连发生情况。结果治疗后,两组血管指数(VI)、血流指数(FI)均高于治疗前,阻力指数(RI)及搏动指数(PI)均低于治疗前,且按摩组VI、FI均高于激素组,RI、PI均低于激素组,差异有统计学意义(P<0.05)。按摩组再粘连发生率为4.44%,低于激素组的20.00%,差异有统计学意义(P<0.05)。结论Foley球囊按摩在宫腔粘连术后预防再粘连中的应用效果较理想,能改善患者子宫内膜血流情况,有效预防宫颈再粘连的发生,值得临床推广应用。
Objective To investigate the effect of Foley balloon massage on prevention of re-adhesion after intrauterine adhesions.Methods 90 patients who underwent intrauterine adhesion surgery in our hospital from February 2018 to February 2020 were selected as the research subjects,and they were divided into hormone group and massage group according to random number table method,with 45 cases in each group.The hormone group was treated with chitosan,and the massage group was treated with Foley balloon massage,the endometrial blood flow indexes and the occurrence of re-adhesion were compared between the two groups.Results After treatment,the vascularity index(VI)and flow index(FI)of the two groups were higher than before treatment,and the resistance index(RI)and pulsatility index(PI)were lower than before treatment,and the VI,FI in the massage group were higher than those in the hormone group,and the RI and PI were lower than those in the hormone group,the difference was statistically significant(P<0.05).The incidence of re-adhesion in the massage group was 4.44%,which was lower than 20.00%in the hormone group,and the difference was statistically significant(P<0.05).Conclusion The application effect of Foley balloon massage in the prevention of readhesion after intrauterine adhesions is ideal,can improve the endometrial blood flow,and effectively prevent the occurrence of cervical re-adhesion,which is worthy of clinical application.
作者
邓霞
余平平
杜玉丹
DENG Xia;YU Pingping;DU Yudan(Department of Gynecology,Jiujiang Maternal and Child Health Hospital,Jiujiang,Jiangxi,332000,China;Department of Obstetrics and Gynecology,Jiujiang Maternal and Child Health Hospital,Jiujiang,Jiangxi,332000,China)
出处
《当代医学》
2022年第26期97-99,共3页
Contemporary Medicine
基金
国家自然科学基金(81470408)。
