不同程度宫腔粘连的治疗方法及预后差异杨大震顾小燕（南京市妇幼保健院210000）【摘要】目的了解和掌握临床上治疗不同程度空腔粘连的方法策略以及预后分析。方法回顾性分析2009-2010年期间来我院就诊的宫腔粘连患者中140例患者的临床资料，按照国际中分类标准对所要研究的对象进行分类。采用宫腔镜电切术对宫腔粘连患者实施治疗。术后对患者进行2-3个月经周期的护理以及二探观察，并对其中患者进行随访观察，分析不同程度的宫腔粘连患者最佳的治疗方案以及经治疗后存在的差异。结果在140例宫腔粘连患者中有135例宫腔患者有既往刮宫史，比例为96.4%。轻度宫腔粘连患者有29例，占20.7%,中度宫腔粘连患者有16例，占11.4%,中重度宫腔粘连患者有89例，占63.6%,重度宫腔粘连患者有6例，占4.3%o术后观察到所有宫腔粘连患者有10例患者月经量增多，约为7.2%。月经量没有明显变化宫腔粘连患者有7例，约为5%,月经量恢复正常有110例，占78.6%,月经量减少的患者有13例，占9.3%o通过电话、电子邮件多种方式对140例宫腔粘连患者中85例患者进行随访观察（随访率为60.7%）,有73例宫腔粘连患者的月经周期正常，约为85.9%,有10例患者的月经周期紊乱，约为11.8%,有2例患者处于闭经状态，占2.4%o结论从以上资料可以看出有过刮宫史的患者患有宫腔粘连的概率要高的多，不同程度的宫腔粘连患者均可通过宫腔镜电切术进行治疗，重度的宫腔粘连患者经治疗后治疗效果不太明显，它的预后较其它程度的宫腔粘连患者差，因此对有过刮宫史的妇女要注意防止宫腔粘连等妇科疾病的发牛。【关键词】宫腔粘连二探观察随访观察宫腔镜电切术【中图分类号】R71【文献标识码】A【文章编号】2095-1752（2013）32-0127-02[Abstract]Objective:TounderstandandmastertheclinicaltreatmentofdifferentlevelscavityadhesionsandprognoSticanalysisofthemethodsandstrategies.Methods:Aretrospectiveanalysisoftheperiod2009-2010toourhospitalintrauterineadhesionsinpatientsclinicaldataof140patients,classifiedinaccordaneewithinternationalstandardsfortheclassificationofobjectstobestudied.Patientswere2-3afterthemenstrualcycle,aswellastwoexplorationnursingobservation,andoneofthepatientfollow-upobservation,analysisofpatientswithvaryingdegreesofintrauterineadhesionsbesttreatmentoptionsaswellasaftertreatmentoftheexistingdifferences.Results:In140casesofintrauterineadhesionsin135casesofpatientswithuterinecurettageinpatientswithprevioushistory,aratioof96.4%.Patientswithmildintrauterineadhesionsin29cases,accountingfor20.7%ofpatientswithmoderateintrauterineadhesionshave16cases,accountingfor11.4%ofpatientswithmoderatetosevereintrauterineadhesions,89cases,accountingfor63.6%,andsevereinpatientswithsixcasesofintrauterineadhesions,accountingfor4.3%.Intrauterineadhesionswereobservedinall10patients,patientswithincreasedmenstrualflow,whichisabout7.2%.Menstrualflowdidnotchangesignificantlyinpatientswithsevencasesofintrauterineadhesion®about5%,torestorenormalmenstrualflow110cases,accountingfor78.6%ofthepatientstoreducemenstrualflowin13cases,accountingfor9.3%.Byphone,e-mailavarietyofways140casesofintrauterineadhesionswereconductedin85patientswerefollowedup(follow-uprate60.7%),thereare73casesofintrauterineadhesionsinpatientswithnormalmenstrualcycle,whichisabout85.9%,with10casesthepatient'smenstrualcycledisorders,approximately11.8%,with2patientsinamenorrheastate,accountingfor2.4%.Conclusion:Itcanbeseenfromtheabovedatacurettagehadahistoryofintrauterineadhesionsinpatientssufferingfrommuchhigherprobability,intrauterineadhesionsinpatientswithvaryingdegreesareavailablethroughhysteroscopicresectionfortreatment,severeintrauterineadhesionsAftertreatment,thetreatmenteffectisnotobvious,itisthedegree...