宫腔镜术后宫腔持续放置球囊导尿管治疗重度宫腔粘连的价值

宫腔镜术后宫腔持续放置球囊导尿管治疗重度宫腔粘连的

价值

夏良斌;李爱斌;杨菁;胡静;李明

【期刊名称】《中华全科医师杂志》

【年(卷),期】2008(007)002

【摘要】This study was to investigate the role of urethral catheter balloon dilatation(F16)in the treatment of intrauterine adhesion after hysteroscopic surgery.A total of 523 patients with severe intrauterine adhesion(IUA)following hysteroscopic surgery underwent urethral catheter balloon dilatation during April rn2000 and December 2005.During 3～15 months'follow-up,normal menses were seen in 340 patients (65.0％),nearly normal menses in 165 patients(31.5％),and menoschesis in 18 patients(3.4％).302 patients showed normal uterine cavity with no recurrent endometrial adhesion,203 patients(38.8％)were found slight IUA,and only 18 patients(3.4％)still presented with severe adhesion.No operative complication was reposed.and the pregnant rate was 47.6％.In summary.urethral catheter balloon dilatation.based therapeutic strategies is safe.effective and beneficial.%我院2000年4月至2005年12月对523例重度官腔粘连患者采用B超监测下经宫腔镜手术分离,术后官腔持续放置球囊导尿管,同时行人工周期治疗3个周期及抗菌素预防感染.523例重度宫腔粘连患者术后随访3～12个月,月经恢复正常340例(65.O%),月经少但较前增多165例(31.5%),仍闭经或月经量少且较前无增多18