透明质酸钠预防宫腔镜术后宫腔粘连的临床疗效(1)
【摘要】 目的：分析与探讨将透明质酸钠应用于宫腔镜术后患者的价值，并研究其对预防术后宫腔粘连临床疗效的影响及评价。方法：将2015年3月-2017年3月经本院临床确诊后进行宫腔镜手术治疗的88例患者选为临床研究对象，采用随机数字表法分成对照组和观察组，每组44例。对照组给予宫腔镜术后常规处理，观察组采用透明质酸钠进行预防治疗。比较两组术后宫腔粘连的发生情况、阴道出血时间、月经复潮时间以及并发症发生情况。结果：观察组术后宫腔粘连发生率为4.55%、阴道流血时间为(4.45±1.04)d、月经复潮时间为(29.87±2.91)d、并发症发生率为9.09%，均明显优于对照组的29.55%、(8.36±1.81)d、(34.53±2.64)d、34.09%，差异均有统计学意义(P<0.05)。结论：宫腔镜术后患者应用透明质酸钠进行治疗，临床效果确切，能够有效预防患者宫腔粘连的发生情况，同时具有良好的止血及预防感染的效果，有助于促进患者月经尽快恢复，减少术后并发症的发生情况，满足患者期望值。
【关键词】 宫腔镜术后； 透明质酸钠； 宫腔粘连
【Abstract】 Objective：To analyze and discuss the application value of Sodium Hyaluronate in postoperative patients with hysteroscopy，and to study the influence and evaluation of the clinical efficacy of the prevention of postoperative adhesions.Method：From March 2015 to March 2017，88 patients treated by hysteroscopy in our hospital were selected as clinical research objects.They were randomly divided into the control group and observation group，44 cases in each group.The control group received routine treatment after hysteroscopy，and the observation group was treated with Sodium Hyaluronate.The occurrence of postoperative intrauterine adhesions， the time of vaginal bleeding， the time of menstrual recovery and the occurrence of complications were compared between the two groups.Result：The incidence of intrauterine adhesions in the observation group was 4.55%，vaginal bleeding time was (4.45±1.04)d，menstrual reflow time was (29.87±2.91)d，the complication rate was 9.09%，which was significantly better than 29.55%，(8.36±1.81)d，(34.53±2.64)d，34.09% in the control group，the differences were statistically significant(P<0.05).Conclusion：The patients are treated with Sodium Hyaluronate after hysteroscopic surgery，clinical efficacy，can effectively prevent the occurrence of patients with intrauterine adhesion，and also has good hemostasis and infection prevention effect，helps to promote the patients’ menstrual recovery as soon as possible，to reduce the incidence of postoperative complications， meet patient expectations.
【Key words】 After hysteroscopy； Sodium Hyaluronate； Intrauterine adhesions
First-author’s address：Gaozhou Maternal and Child Health Care Centre，Gaozhou 525200，China
doi：10.3969/j.issn.1674-4985.2017.36.012
臨床中宫腔粘连较为常见，主要为宫腔镜术后造成患者宫腔基底层受损所致，临床中宫腔镜手术应用十分广泛，主要见于人工流产、子宫内膜息肉、黏膜下肌瘤、异常子宫出血以及宫内节育环等，其具有操作简单、缩短手术及住院时间、降低对患者机体损伤等特点[1]。近年来，受多种因素影响，进行宫腔镜手术的患者例数不断上升，且有年轻化趋势，这也导致发生宫腔粘连的人数逐年增多[2]。宫腔粘连患者会出现反复发作性腹痛、月经减少或闭经等情况，若任其肆意发展，则会对患者的妊娠情况造成不良影响[3]。因此，对于进行宫腔镜手术的患者来说，选择安全、有效的方式进行预防治疗十分必要，为了探究预防术后宫腔粘连的最佳方式，使医务人员能够更专业、更优质的为宫腔镜手术患者进行治疗，特选取入院诊治的88例患者进行分组研究，分别采用不同的预防处理，对其临床资料整理分析后，现将结果报道如下。, http://www.100md.com(胡岳敏)
【关键词】 宫腔镜术后； 透明质酸钠； 宫腔粘连
【Abstract】 Objective：To analyze and discuss the application value of Sodium Hyaluronate in postoperative patients with hysteroscopy，and to study the influence and evaluation of the clinical efficacy of the prevention of postoperative adhesions.Method：From March 2015 to March 2017，88 patients treated by hysteroscopy in our hospital were selected as clinical research objects.They were randomly divided into the control group and observation group，44 cases in each group.The control group received routine treatment after hysteroscopy，and the observation group was treated with Sodium Hyaluronate.The occurrence of postoperative intrauterine adhesions， the time of vaginal bleeding， the time of menstrual recovery and the occurrence of complications were compared between the two groups.Result：The incidence of intrauterine adhesions in the observation group was 4.55%，vaginal bleeding time was (4.45±1.04)d，menstrual reflow time was (29.87±2.91)d，the complication rate was 9.09%，which was significantly better than 29.55%，(8.36±1.81)d，(34.53±2.64)d，34.09% in the control group，the differences were statistically significant(P<0.05).Conclusion：The patients are treated with Sodium Hyaluronate after hysteroscopic surgery，clinical efficacy，can effectively prevent the occurrence of patients with intrauterine adhesion，and also has good hemostasis and infection prevention effect，helps to promote the patients’ menstrual recovery as soon as possible，to reduce the incidence of postoperative complications， meet patient expectations.
【Key words】 After hysteroscopy； Sodium Hyaluronate； Intrauterine adhesions
First-author’s address：Gaozhou Maternal and Child Health Care Centre，Gaozhou 525200，China
doi：10.3969/j.issn.1674-4985.2017.36.012
臨床中宫腔粘连较为常见，主要为宫腔镜术后造成患者宫腔基底层受损所致，临床中宫腔镜手术应用十分广泛，主要见于人工流产、子宫内膜息肉、黏膜下肌瘤、异常子宫出血以及宫内节育环等，其具有操作简单、缩短手术及住院时间、降低对患者机体损伤等特点[1]。近年来，受多种因素影响，进行宫腔镜手术的患者例数不断上升，且有年轻化趋势，这也导致发生宫腔粘连的人数逐年增多[2]。宫腔粘连患者会出现反复发作性腹痛、月经减少或闭经等情况，若任其肆意发展，则会对患者的妊娠情况造成不良影响[3]。因此，对于进行宫腔镜手术的患者来说，选择安全、有效的方式进行预防治疗十分必要，为了探究预防术后宫腔粘连的最佳方式，使医务人员能够更专业、更优质的为宫腔镜手术患者进行治疗，特选取入院诊治的88例患者进行分组研究，分别采用不同的预防处理，对其临床资料整理分析后，现将结果报道如下。, http://www.100md.com(胡岳敏)