Clinical efficacy of hysteroscope operation treatment of uterine cavity adhesion and correlative risk factors analysis of uterine cavity adhesion
10.3760/cma.j.issn.1673-4904.2012.36.003
- VernacularTitle:宫腔镜下手术治疗宫腔粘连的临床疗效观察及宫腔粘连的相关危险因素分析
- Author:
Haina WANG
;
Sheng LIAO
;
Youfen JIANG
- Publication Type:Journal Article
- Keywords:
Hysteroscopes;
Risk factors;
Factor analysis,statistical;
Uterine cavity adhesion
- From:
Chinese Journal of Postgraduates of Medicine
2012;(36):7-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the correlative risk factors of uterine cavity adhesion (UCA),and observe the clinical efficacy of hysteroscope operation treatment of UCA.Methods According to whether the occurrence of UCA,120 patients with spontaneous abortion were divided into two groups.The correlative risk factors of UCA were analyzed by multiple factors regression analysis.The patients with UCA were treated with hysteroscope operation treatment,and the clinical efficacy were observed.Results In 120 patients with spontaneous abortion,46 patients (38.3％) had UCA.Single factor analysis result showed:UCA was correlated with pelvic inflammation,gravidity,uterine cavity suction negative pressure,uterine cavity suction time (P ＜ 0.05),but UCA was not correlated with age,years of education,occupation,gestational weeks,menarche age (P＞ 0.05).Multiple factors analysis result showed:UCA was correlated with pelvic inflammation,uterine cavity suction negative pressure,uterine cavity suction time (P ＜ 0.05).The total effective rates of hysteroscope operation treatment of mild,moderate and severe UCA were 100.0％ (18/18),93.8％ (15/16)and 83.3％ (10/12) respectively,there was no significant difference among them (P ＞ 0.05).Conclusions Along with the increasing of uterine cavity suction negative pressure and extension of uterine cavity suction time,the risk of UCA is also increasing,pelvic inflammation is also an independent risk factor of UCA.Hysteroscope operation treatment of UCA has better curative effect,especially for mild UCA,it is worth clinical application.
