中国现代手术学杂志2018，Vol.22Issue(1)：67-71,5.DOI:10.16260/j.cnki.1009-2188.2018.01.017
TCRA术后Foley球囊+自交联透明质酸钠凝胶在宫腔粘连患者中的应用效果
Effects of Foley Balloon and Self-crosslinked Sodium Hyaluronate Gel after TCRA in Patients with Intrauterine Adhesions
摘要
Abstract
Objective To investigate the clinical effect of Foley balloon + self-crosslinked sodium hyaluronate gel for preventing postoperative adhesions after TCRA in patients with intrauterine adhesions.Methods A total of 120 patients with moderate-severe intrauterine adhesions were selected from December,2015 to November,2017 in our hospital.According to the random number table,the patients were divided into the observation group and the control group,with 60 cases in each.The observation group was treated with TCRA Foley balloon + self-crosslinked sodium hyaluronate gel to prevent re-adhesion,and the control group was treated with TCRA Foley balloon + ordinary medical sodium hyaluronate gel to prevent re-adhesion.The clinical efficacy and AFS scores were observed.Results The total AFS score,adhesion area score,adhesion type and menstrual status score of the two groups were significantly decreased (P ＜ 0.05) 3 months after the hysteroscopy;and the AFS score and the menstrual status score of the observation group were significantly lower than that of the control group(P ＜ 0.05).Mter treatment,the clinical effective rate was 86.67％ (52/60) in the observation group and 71.67％ (43/60) in the control group with statistical significance (x2 =4.093,P ＜ 0.05).The incidence of re-adhesion was 1.92％ (1/52) in the observation group and 16.28％ (7/43) in the control group 3 months after hysteroscopy.There was a statistically significant difference between the two group(x2 =4.566,P ＜ 0.05).Conclusion The application of Foley balloon + self-crosslinked sodium hyaluronate gel to prevent adhesion in patients with intrauterine adhesions after TCRA is effective in reducing the AFS score and menstrual status,which is worthy of clinical promotion.关键词
自交联透明质酸钠凝胶/Foley球囊/宫腔粘连/宫腔粘连分离术/宫腔镜Key words
self-crosslinked sodium hyaluronate gel/Foley ballon/intrauterine adhesions/intrauterine adhesions separation/hysteroscopy分类
医药卫生引用本文复制引用
王润,欧红,阮艳..TCRA术后Foley球囊+自交联透明质酸钠凝胶在宫腔粘连患者中的应用效果[J].中国现代手术学杂志,2018,22(1):67-71,5.基金项目
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z20170004) （编号:Z20170004）
