摘要
Abstract
Objective To evaluate the clinical effect of hysteroscopic adhesiolysis of intrauterine adhesion in patients with intrauterine adhesion(IUA).Methods A total of 80 patients with IUA admitted to Wuming Hospital of Guangxi Medical U-niversity from June 2021 to June 2023 were selected as research objects and they were divided into control group(40 cases)and observation group(40 cases)according to random number table method.The control group underwent hysteroscopic electric resection,and the observation group underwent hysteroscopic cold knife separation.The clinical effective rate,uterine recovery,uterine readhesion rate,clinical indicators and inflammatory factors(interleukin-10[IL-10],interleukin-4[IL-4],interleukin-6[IL-6])of the two groups were compared.Results The clinical effective rate and the levels of IL-10 and IL-4 in the observation group were higher than those in the control group,the differences were statistically significant(P＜0.05).The intrauterine readhesion rate and IL-6 level in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).The operation time and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P＜0.05).The amount of dilatant fluid absorption and intraoperative blood loss in the observation group were lower than those in the control group,and the difference were statistically significant(P＜0.05).The endometrial thickness in the observation group was thicker than that in the control group,and the difference was statistically significant(P＜0.05).The uterine volume of observation group was higher than that of control group,and the difference was statistically significant(P＜0.05).Conclusion Compared with hys-teroscopic electrotomy,hysteroscopic cold knife separation can improve clinical efficiency,promote uterine recovery,reduce uterine readhesion rate,optimize clinical indicators,and alleviate inflammation in IUA patients.关键词
宫腔镜下粘连分离术/宫腔粘连/临床效果/炎症因子/子宫恢复情况Key words
Hysteroscopic adhesiolysis of intrauterine adhesion/Intrauterine adhesions/Clinical effect/Inflammatory fac-tor/Uterine recovery status分类
医药卫生
