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中国现代手术学杂志  2018, Vol. 22 Issue (4): 291-294    DOI: 10.16260/j.cnki.1009-2188.2018.04.013
  临床论著 |
宫腔镜手术治疗宫腔粘连影响因素分析#br#
施佳艳
上海市第一人民医院宝山分院妇产科, 上海 200940
Influencing Factors Analysis of Hysteroscopy for Intrauterine Adhesions#br#
SHI Jiayan#br#
Department of Obstetrics and Gynecology, Baoshan Branch of Shanghai First People's Hospital, Shanghai 200940, China)

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摘要 [摘要]目的探讨影响宫腔镜手术治疗宫腔粘连临床疗效及预后的相关因素。方法选取2014年2月~2016年10月在我院行宫腔镜手术治疗的宫腔粘连患者159例,术后进行随访,观察治疗效果,并对影响疗效因素进行单因素和多因素Logistic回归分析。结果159例患者术后随访1年,治愈97例,有效36例,无效26例,临床有效率为83.65%。单因素分析显示,宫腔镜手术治疗宫腔粘连的临床疗效与患者病程、宫腔粘连性质、官腔粘连范围、宫腔粘连分级、宫内节育器放置和人工周期应用有关(P<0.05),与患者年龄、孕次、人工流产次数、手术时间因素无关(P>0.05)。多因素分析显示,病程和致密性宫腔粘连是宫腔镜手术临床疗效的独立危险因素(OR=2.807和2.751, P均<0.05),而宫内节育器放置和人工周期应用是宫腔镜治疗临床疗效的保护因素(OR=0.457和0.508, P均<0.05)。结论宫腔镜手术治疗宫腔粘连临床疗效与患者病程、宫腔粘连性质以及术后辅助治疗有关,应针对相关影响因素积极采取措施,以提高疗效。

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施佳艳
关键词:  宫腔镜检查  宫腔粘连  影响因素
    
Abstract: Abstract:ObjectiveTo explore the influencing factors of hysteroscopy in the treatment of intrauterine adhesions.MethodsA total of 159 patients with intrauterine adhesions treated by hysterosopic surgery from February 2014 to October 2016 in our hospital were enrolled to analyze retrospectively. The curative effect was observed after the followup. The single factor and multiple factor Logistic regression analysis were used to analyze the effect factors.Results159 patients were followed up for one year. The clinical effect showed cured in 97 cases, effectiveness in 36 cases, invalid in 26 cases, and the total effective rate was 83.65%. The single factor analysis showed that the clinical efficacy of hysteroscopy in the treatment of intrauterine adhesions was related to the patient's course of disease, the peculiarity, extent and classification of intrauterine adhesions, the placement of intrauterine device and the application of artificial cycle (P<0.05), but was not related to the age, pregnancy, abortion, and operation time of the patients (P>0.05). Logistic regression analysis revealed that course of disease and density of intrauterine adhesions were the dangerous factors (OR=2.807 and 2.751, P<0.05), while placement of intrauterine device and application of artificial cycle were the protective factors for the clinical effect of hysteroscopy (OR=0.457 and 0.508, P<0.05).ConclusionThe clinical efficacy of hysteroscopy for intrauterine adhesions are related to the course of the disease, the nature of intrauterine adhesions and postoperative adjuvant therapy, so effective measures should be taken to improve the therapeutic effect according to the related factors.

Key words:       hysteroscopy    intrauterine adhesions    influencing factors
               出版日期:  2018-08-26      发布日期:  2018-10-23      期的出版日期:  2018-08-26
ZTFLH:  R713.4  
通讯作者:  施佳艳,女,38岁,上海市第一人民医院宝山分院妇产科主治医师。   
作者简介:  施佳艳,女,38岁,上海市第一人民医院宝山分院妇产科主治医师。
引用本文:    
施佳艳. 宫腔镜手术治疗宫腔粘连影响因素分析#br#[J]. 中国现代手术学杂志, 2018, 22(4): 291-294.
SHI Jiayan. Influencing Factors Analysis of Hysteroscopy for Intrauterine Adhesions#br#. Chinese Journal of Modern Operative Surgery, 2018, 22(4): 291-294.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.04.013  或          http://www.surgerychina.com/CN/Y2018/V22/I4/291
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