现代妇产科进展2017，Vol.26Issue(5)：329-332,4.DOI:10.13283/j.cnki.xdfckjz.2017.05.003
493例宫腔粘连患者的临床资料分析
Clinical analysis of 493 intrauterine adhesions cases
张佳佳 1乔杰 1宋雪凌 1邓凤 1杨艳 1马彩虹 1李蓉1
作者信息
- 1. 北京大学第三医院生殖中心,北京 100191
- 折叠
摘要
Abstract
Objective:To explore the high risk factors of adhesion types in patients with intrauterine adhesions (IUA),and to provide reference for its diagnosis and prevention.Methods:493 cases of IUA were included from Jan.2012 to June 2014 in Reproductive Medical Center of Peking University Third Hospital.All cases were grouped according to the degree of IUA.The factors that affect the degree of adhesion were analyzed.Results:There was no significant difference in the mean age,menstrual cycle and the loss of middle pregnancy between different levels of IUA (P>0.05).There were significant differences in the number of patients,the risk of primary infertility,the history of tuberculosis and the presence of endometriosis (P<0.05).With the increase of the degree of adhesion,the proportion of patients with reduced volume,primary infertility and tuberculosis was gradually increased,while the proportion of patients with endometriosis showed a downward trend.The density of IUA was associated with intrauterine procedures related to pregnancy (P<0.05).41.48% IUA had normal endometrial ultrasonography.There were significant differences in transvaginal sonography among different IUA group (P<0.001).However,with the increase of the degree of adhesion,the proportion of ultrasound confirmed adhesion was not increased.In 444 I~III cases,the endometrial damage of most cases were in the central cavity,the rate was 45.05%.There was a statistically significant difference among different groups (P<0.001).The right site of intrauterine adhesions was significantly higher than the proportion of left.Conclusion:To avoid the formation of IUA,infectious diseases should be treated aggressively and traumatic uterine cavity operation should be reduced.The sensitivity of two-dimensional ultrasound is low,Hysteroscopy is the gold standard for the diagnosis of IUA.关键词
宫腔粘连/病因/超声/宫腔镜Key words
Intrauterine adhesion/Etiology/Ultrasound/Hysteroscopy分类
医药卫生引用本文复制引用
张佳佳,乔杰,宋雪凌,邓凤,杨艳,马彩虹,李蓉..493例宫腔粘连患者的临床资料分析[J].现代妇产科进展,2017,26(5):329-332,4.
