昆明医科大学学报2024，Vol.45Issue(2)：141-147,7.DOI:10.12259/j.issn.2095-610X.S20240220
HEOS治疗宫腔粘连术后预防再粘连3种方法的对比研究
A Comparative Study of Three Methods of Preventing Intrauterine Adhesions after HEOS
摘要
Abstract
Objective To compare the efficacy of three different methods in the prevention of adhesion after the HEOS system for different degrees of intrauterine adhesions.Methods 284 patients with mild,moderate and severe intrauterine adhesions,who were treated with the HEOS system,were divided into three groups,the intrauterine device with sodium hyaluronate gel was placed in Group A,Foley water capsule tube with sodium hyaluronate gel was placed in Group B,and sodium hyaluronate gel was placed in Group C only.The recovery of uterine adhesion,improvement of menstruation,endometrial thickness,and adverse reactions were compared among the three groups.Results The mild intrauterine adhesions group showed statistical differences among the three groups(P<0.05).Group A had a higher menstrual improvement rate than Group C(P<0.017),and there was no significant difference in other therapeutic indicators(P>0.017).However,the adverse reaction rate in Group A was also higher than that in Group C(P<0.017).In the moderate intrauterine group,there was a significant difference in the improvement rate of intrauterine adhesions between Group B and the other two groups(P<0.017).Group A and B were higher than Group C in terms of menstrual status,endometrial thickness,and adverse reactions(P<0.017).In severe intrauterine adhesions,Group A had higher efficacy indicators than other groups(P<0.017).Conclusions The curative effect index and adverse reaction rate were analyzed,after operation.For the light,moderate,and severe intrauterine adhesions,sodium hyaluronate gel,Foley water capsule tube with sodium hyaluronate gel,and intrauterine device with sodium hyaluronate gel were the best choice for adhesion.Individual and hierarchical management can achieve good clinical effects,which is worth popularizing.关键词
宫腔粘连/HEOS系统/宫内节育环/Foley水囊管Key words
Intrauterine adhesion/HEOS system/Intrauter inedevice/Foley water bag tube分类
医药卫生引用本文复制引用
孟丽燕,高俊丽,李春琳,牛洁,孙燕,王超群..HEOS治疗宫腔粘连术后预防再粘连3种方法的对比研究[J].昆明医科大学学报,2024,45(2):141-147,7.基金项目
昆明市卫生科技"十百千工程培养"项目[2021-sw(后备)-79] （后备）
