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目的:探讨玻璃酸钠在宫腔镜电切术后预防宫腔再粘连的临床治疗效果。方法:2006年4月～2008年3月在郧阳医学院附属十堰市太和医院妇产科收治的宫腔粘连患者68例,其中随机分为观察组34例,对照组34例,手术均在B超监护下进行宫腔镜电切分离粘连,观察组术后宫腔放置16号的Foley双腔球囊导尿管,球囊注水3～5 ml,充水量以病人勉强耐受为宜,宫腔内注入玻璃酸钠3 ml。3天后宫腔内再次注入玻璃酸钠3 ml后取出球囊,同时上节育环,人工周期治疗2～3个月;对照组术后只常规上节育环及人工周期治疗。两组术后均使用抗生素预防感染治疗5天。结果:术后随访3个月,观察组月经恢复正常或基本正常32例(94.1%),对照组26例(76.4%);观察组术后宫腔再粘连2例(5.9%),对照组9例(26.5%),均无手术并发症。结论:宫腔镜电切术后宫腔内应用玻璃酸钠配合Foley球囊导尿管扩张预防宫腔再粘连是有效、安全的。
Objective: To investigate the clinical effect of sodium hyaluronate in preventing intrauterine re-adhesion after hysteroscopic electrotomy. Methods: From April 2006 to March 2008, 68 cases of intrauterine adhesions admitted to Department of Obstetrics and Gynecology, Taihe Hospital, Shiyan City, Yunyang Medical College were randomly divided into observation group (34 cases) and control group (34 cases) Hysteroscopic electrosurgical separation and adhesions under B-ultrasound were performed in the observation group. Foley double-lumen balloon catheters on the 16th postoperative uterine cavity were placed in the observation group. Infusion volume of the balloon was 3-5 ml. , Intrauterine injection of sodium hyaluronate 3 ml. 3 days after intrauterine reabsorption of sodium hyaluronate 3 ml after the balloon was removed, at the same time on the birth control ring, artificial cycle of treatment for 2 to 3 months; control group only conventional postoperative birth control ring and artificial cycle treatment. Two groups were treated with antibiotics to prevent infection after 5 days. Results: After 3 months of follow-up, 32 cases (94.1%) returned to normal or normal in the observation group and 26 cases (76.4%) in the control group. The intrauterine adhesions in the observation group (5.9% Nine patients (26.5%) had no surgical complications. Conclusion: Hysteroscopic resection of uterine cavity using sodium hyaluronate with Foley balloon catheter dilatation of intrauterine adhesions is effective and safe.