Clinical observation of effect of mechanical hysteroscopy in intrauterine adhesions
TANG Hong1, LI Xiaomao2, and HU Xiangdan1
1.Department of Gynecology,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China; 2.Department of Gynecology,the Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510620,China
Abstract：Objective To compare the efficacy and reproductive differences between hysteroscopy(referred to as the cold 1oop) and energy equipment hysteroscopy(referred to as the electric loop) in the treatment of intrauterine adhesions.Methods The 92 patients who received surgery between January 2015 and December 2016 in the Department of Gynecology of Guangdong Provincial Hospital of TCM were divided into two groups. Cold loop adhesiolysis was performed in 42 patients, while the other 50 patients received electric loop adhesiolysis. Data was collected mainly to compare the fertility results of patients in the first year after operation. These two approaches were adopted to restore the menstrual pattern and the effect and endometrial thickness were observed 3 months after surgery.Results Three months after operation, the total effective rate of the cold loop group was 88.1% and better restoration of the menstrual pattern was achieved than in the electric loop group (76.0%). Endometrial thickness and menstrual rates were improved, and the difference between the two groups was statistically significant.There was, however, no significant difference in fertility outcomes between the two groups within one year after surgery.Conclusions Hysteroscopic adhesiolysis with the cold loop can be used to improve the therapeutic effect after hysteroscopic electric resection.
唐虹, 李小毛, 胡向丹. 宫腔粘连两种手术方式疗效比较[J]. 武警医学, 2019, 30(10): 877-880.
TANG Hong, LI Xiaomao, and HU Xiangdan. Clinical observation of effect of mechanical hysteroscopy in intrauterine adhesions. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(10): 877-880.
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