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目的:探讨自制橡皮圈套环在不孕的宫腔粘连患者行宫腔粘连分离术后减少再次粘连几率的临床可行性。方法:将宫腔粘连患者62例按同等配比分为自制橡皮圈套环组(A组)30例与传统O环组(B组)32例。62例患者均在宫腔镜下行宫腔粘连分离术,术后A组宫腔内放置自制橡皮圈套环1枚,B组放置普通O环1枚,两者术后均予抗生素止血药预防感染止血治疗,同时雌孕激素周期治疗。结果:A组30例宫腔粘连患者术后均未再发粘连,其中有15例获得正常妊娠。B组32例中7例再发粘连,10例获得正常妊娠。结论:自制橡皮圈套环在宫腔粘连不孕患者行宫腔粘连分离术后提高宫腔粘连分离的效果,减低再发粘连风险方面效果优于传统粘连术后上O环组。
Objective: To investigate the clinical feasibility of self-made rubber ring cuff in reducing the chance of re-adhesion after intrauterine adhesions in infertility patients with intrauterine adhesions. Methods: 62 patients with intrauterine adhesions were divided into three groups according to the same proportion: 30 cases of self-made rubber ring group (A group) and 32 cases of traditional O-ring group (B group). 62 patients underwent hysteroscopy intrauterine adhesions, postoperative A group of uterine cavity placed a rubber ring, a group of normal O-ring placed 1, both were given antibiotics to prevent infection after hemostatic Hemostatic treatment, while estrogen and progesterone cycle treatment. Results: A group of 30 patients with intrauterine adhesions were no longer any adhesions, of which 15 cases of normal pregnancy. In group B, 7 cases had recurrent adhesions in 32 cases and 10 cases received normal pregnancy. CONCLUSION: Self-made rubber ring cuffs can improve the effect of intrauterine adhesions and reduce the risk of recurrent adhesions after intrauterine adhesions in patients with intrauterine adhesions and infertility.