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目的探究球囊放置最佳时间对宫腔粘连分离术后预防再粘连的影响。方法将306例进行宫腔粘连分离术的患者随机分为A、B、C 3组,每组102例。所有患者均应用球囊联合透明质酸钠及放置宫内节育器的方法预防再粘连,其中A组放置5d,B组放置8d,C组放置11d,观察3组的疗效和感染率。结果 B、C组患者的总有效率显著高于A组,差异均有统计学意义(P<0.05)。B、C组总有效率差异无统计学意义(P>0.05)。A组患者治疗后感染率为4.90%(5/102),B组患者感染率为5.88%(6/102),C组患者感染率为12.75%(13/102),A、B 2组间感染率差异无统计学意义(P>0.05)。C组患者的感染率显著高于A、B 2组,差异有统计学意义(P<0.05)。结论应用球囊联合透明质酸钠及人工周期疗法,其中球囊放置8d对预防宫腔粘连分离术后再粘连的发生有最佳效果,值得临床推广应用。
Objective To investigate the effect of balloon placement on the prevention of reunion after intrauterine adhesions. Methods 306 cases of intrauterine adhesions were randomly divided into A, B, C group, 102 cases in each group. All patients were treated with balloon combined with sodium hyaluronate and intrauterine device to prevent re-adhesion, including 5 days in group A, 8 days in group B and 11 days in group C, and the efficacy and infection rate in group 3 were observed. Results The total effective rate of patients in groups B and C was significantly higher than that of group A (P <0.05). There was no significant difference in total effective rate between group B and group C (P> 0.05). The infection rate in group A was 4.90% (5/102), in group B was 5.88% (6/102), in group C was 12.75% (13/102), in group A and B 2 No significant difference in infection rate (P> 0.05). The infection rate in group C was significantly higher than that in group A and group B, with significant difference (P <0.05). Conclusion balloon combined with sodium hyaluronate and artificial cyclical therapy, in which the balloon placed 8d to prevent the occurrence of adhesions after intrauterine adhesions with the best results, worthy of clinical application.