Clinical analysis of different hysteroscopic methods combined with drugs in the treatment of uterine septum
10.3969/j.issn.1673-9701.2024.05.014
- VernacularTitle:宫腔镜不同术式联合药物治疗子宫纵隔临床结局分析
- Author:
Shizhang YANG
1
;
Xizhong XU
1
Author Information
1. Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu, China
- Publication Type:Journal Article
- Keywords:
Hysteroscopy;
Uterine mediastinum;
Crosslinked sodium hyaluronate gel
- From:
China Modern Doctor
2024;62(5):62-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the uterine septum clinical treatment effects by hysteroscopy different ways of excision.Methods The treatment effects of 90 uterine septum cases were analyzed retrospectively.Those patients were divided into two groups,One group 45 cases accepted hysteroscopy electrosurgical excision,Another group 45 cases was implemented uterine septum cut off with hysteroscopic miniature scissors.Their operative time,blood loss were recorded and compared,and their mediastinal residual and intrauterine adhesions were retreated again in second hysteroscopy checking after 3 months of the first opration.Results All cases were finish the operation sccssefly without complication happens.The total average surgical time was(20.3±6.8)minutes,the average bleeding volume was(11.2±3.1)ml,and the hospital stay was 1 to 5 days,average of 3.5 days.There was no significant difference between the electric resection and cold knife groups in operation time,intraoperative bleeding,mediastinal residual,uterine cavity adhesion,pregnancy rate and abortion rate(P>0.05).There was no significant difference between the two groups in the sequential treatment of intrauterine adhesions and pregnancy rates with simple estrogen and progesterone(P>0.05),the difference of abortion rate was statistically significant(P<0.05).There was no significant difference between the two groups in the sequential treatment of intrauterine adhesion,pregnancy rate and abortion rate with the combination of intrauterine cross-linked sodium hyaluronate gel and oral estrogen and progesterone(P>0.05).Conclusion There was no clear correlation at intrauterine adhesions,mediastinal remnants in resection methods.The sequential treatment of intrauterine cross-linked sodium hyaluronate gel plus oral estrogen and progesterone after operation is conducive to reducing the adhesion rate and improving the pregnancy rate.
