宫腔镜下宫腔粘连切开与切除对子宫内膜容受性影响差异研究
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四川省教育厅重点项目(18ZA0204);


Difference of the effect of hysteroscopic uterine adhesion incision and re-section on endometrial receptivity
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    摘要:

    目的:探讨宫腔镜下宫腔粘连切开与切除对子宫内膜容受性的影响差异。方法:选取60例中、重度宫腔粘连患者为研究对象,按照治疗方式不同分为研究组(n=30)和对照组(n=30)。研究组患者予以宫腔镜下等离子电极针单纯切开粘连部位;对照组切开粘连处后使用电切环做相应切除。术后宫腔镜评估宫腔情况及超声评估子宫内膜容受性,随访妊娠结局。结果:研究组内膜血管指数(VI)、血管血流指数(VFI)均高于对照组(P<0.05)。两组术中情况、术后宫腔形态恢复、月经恢复情况、超声下内膜类型、血流分型、内膜厚度(ED)、内膜容积(EV)、血流指数(FI)等指标比较,差异均无统计学意义(P>0.05)。两组妊娠结局无统计学差异(P>0.05)。结论:宫腔镜下单纯等离子电极针切开粘连带与电切环去除瘢痕均能有效恢复宫腔形态,且前者手术操作更简单,对内膜容受性中血流参数指标的影响更小。

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    Objective:To investigate the effect of hysteroscopic incision and excision of uterine adhesion on endometrial receptiv-ity.Methods:60 patients with moderate and severe uterine adhesions were divided into the study group and the control group according to the different treatment methods,30 cases in each group.Patients in the study group were treated we used a plasma electrode needle under hysteroscopy to just strip away adhesion.Whereas,the control group additionally required the use of an electrocution ring removal for scar excision.Endometrial receptivity indexes were evaluated by transvaginal ultrasound.Follow-up pregnancy outcome.Results:En-dometrial vascular index(VI)and vascular blood flow index(VFI)were higher in the study group than in the control group(P<0.05).There was no statistically significant difference between the two group in intraoperative situation,post-operative hystero-scopic evaluation,menstrual recovery,endometrial type,blood flow pattern,endometrial thickness(ED),endometrial volume(EV)and blood flow index(FI)(P>0.05),and no statistically dignificant difference in pregnancy outcome(P>0.05).Conclusion:Under hysteroscopy,simple plasma electrode needle incision and electrocution ring removal could effectively restore uterine cavity morphology.The former is simpler than the latter,and has less influence on the blood flow parameters in endometrial receptivity.

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罗巧;冯甜甜;邱夏;何登;兰李;曾玉华;.宫腔镜下宫腔粘连切开与切除对子宫内膜容受性影响差异研究[J].川北医学院学报,2025,40(1):45-48 53.

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  • 在线发布日期: 2025-07-24
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