| 陈丹丹,石丽萍,卢健翔,等.球囊支架不同放置时间对宫腔粘连分离术后复发的预防价值及安全性比较[J].安徽医药,2021,25(2):369-372. |
| 球囊支架不同放置时间对宫腔粘连分离术后复发的预防价值及安全性比较 |
| Comparison of the value and safety of COOK balloon stents placed in patients with intrauterine adhesion for different duration to prevent recurrence |
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| DOI：10.3969/j.issn.1009-6469.2021.02.038. |
| 中文关键词: 子宫疾病 组织粘连 球囊支架 放置时间 术后复发 安全性 |
| 英文关键词: Uterine diseases Tissue adhesions Balloon stent Placement duration Postoperative recurrence Security |
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| 中文摘要: |
| 目的对比 COOK球囊支架不同放置时间对宫腔粘连( IUA)病人宫腔粘连分离术( TCRA)术后复发的预防价值及安全性。方法选取 2016年 8月至 2018年 3月深圳市罗湖区人民医院收治的 IUA病人 236例，均于宫腔镜下行 TCRA治疗。按照术后 COOK球囊支架放置时间的不同分成 A组(术后 COOK球囊支架放置时间为 5d)66例、 B组(术后 COOK球囊支架放置时间为 30 d)101例、 C组(术后 COOK球囊支架放置时间为 60 d)69例。分别比较三组月经改善情况，并发症发生情况，复发情况以及手术前后 AFS评分情况。结果 A、B、C三组月经改善率分别为 45.45%、87.13%、92.75%，B、C组明显高于 A组(均 P <0.05)。三组生殖道感染、球囊支架脱出或下移、子宫穿孔、球囊支架嵌顿发生率比较，均差异无统计学意义(均 P > 0.05)。 A、 B、C三组术后复发率分别为 31.82%、9.90%、8.70%，B、C组明显低于 A组(均 P < 0.05)。A、B、C三组术后 AFS评分均低于术前，且 B、C组术后 AFS评分均低于 A组(均 P < 0.05)。结论 IUA病人术后放置 COOK球囊支架 30 d、60 d可发挥显著的预防术后复发效果，且安全性较好，有利于提高病人的月经改善率。因此， TCRA术后 COOK球囊支架宫腔放置时间选择 30 d是可行方案。 |
| 英文摘要: |
| Objective To compare the preventive value and safety of COOK balloon stents placed for different duration in patients withintrauterine adhesion (IUA) after transcervical resection of adhesion (TCRA).Methods A total of 236 patients with IUA admitted to thePeople's Hospital of Luohu District from August 2016 to March 2018 were selected as study subjects.All patients were treated with TCRA.According to the postoperative placement time of COOK balloon stents, the patients were assigned in group A (duration of postoperative COOK balloon stent placement:5d;n =66),group(duration of postoperative COOK balloon stent placement:30d;n =101),andgroupC(duration of postoperative COOK balloon stent placement:60d;n=69).Menstrual improvement,complications,recurrenceand American Fertility Society (AFS) scores before and after surgery were compared among the three groups.Results The menstrual improvement rates ofgroupsA,Band Cwere 45.45%,87.13%and92.75%,respectively,which were significantly hig her in group B and C thanin groupA (all P<0.05).There was no significant difference in the incidence of genital tract infection,balloon stent prolapse or descending,uterine perforation, and balloon stent incarceration among groups A,B,andC(allP >0.05).The postoperativ erecurrence rates of groups A,BandCwere31.82%,9.90% and 8.70%, respectively, which were significantly lower in group B and C than in group A (all P < 0.05). Postoperative AFS scores ofgroupsA,B andC were alllower than thosebe for esurgery,and postoperative AFS scores of group BandC were bothlowerthan thatof groupA(allP <0.05).Conclusion AfterIUAsurgery,theplacement of COOK balloon stents for 30 d and 60 d can significantly preventpos to perative recurrence, and the safety is good,which is conducive to increasing the menstrual improvement rate of patients.Therefore,30 d placement of COOK balloon stents after TCRA is a feasible plan. |
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