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[1]黃文蓉,解 斐,宋保志,等.盆底神經(jīng)肌肉電刺激對中重度宮腔粘連分離術(shù)后預防再粘連的臨床研究[J].福建醫(yī)藥雜志,2021,43(05):9-12.
　HUANG Wenrong,XIE Fei,SONG Baozhi,et al.Clinical study of pelvic floor neuromuscular electrical stimulation in preventing adhesion after separation of moderate and severe intrauterine adhesions[J].FUJIAN MEDICAL JOURNAL,2021,43(05):9-12.
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盆底神經(jīng)肌肉電刺激對中重度宮腔粘連分離術(shù)后預防再粘連的臨床研究()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年05期
頁碼:
9-12
欄目:
臨床研究
出版日期:
2021-10-15

文章信息/Info

Title:
Clinical study of pelvic floor neuromuscular electrical stimulation in preventing adhesion after separation of moderate and severe intrauterine adhesions
文章編號:
1002-2600(2021)05-0009-04
作者:
黃文蓉; 解 斐; 宋保志1; 曾昭珍; 林瑞蓮; 彭燚瓊
福建省龍巖市第二醫(yī)院(龍巖 364000)
Author(s):
HUANG Wenrong; XIE Fei; SONG Baozhi; ZENG Zhaozhen; LIN Ruilian; PENG Yiqiong
The Second Hospital of Longyan,Fujian,Longyan 364000,China
關(guān)鍵詞:
盆底神經(jīng)肌肉電刺激;  宮腔粘連;  療效
Keywords:
pelvic floor neuromuscular electrical stimulation;  intrauterine adhesions;  curative effect
分類號:
R713
文獻標志碼:
B
摘要:
目的 分析盆底神經(jīng)肌肉電刺激在預防中重度宮腔粘連分離術(shù)后再粘連的臨床效果。方法 選取本院收治的中重度宮腔粘連分離術(shù)后患者128例,隨機分為對照組和觀察組各64例。對照組術(shù)后應用宮腔放置透明質(zhì)酸鈉凝膠、宮腔球囊聯(lián)合大劑量雌激素等綜合性治療,觀察組在對照組基礎上給予盆底神經(jīng)肌肉電刺激治療。觀察兩組近期療效、術(shù)后月經(jīng)恢復情況、宮腔鏡二次探查中再粘連的發(fā)生率及術(shù)后6個月妊娠成功率,比較兩組子宮內(nèi)膜厚度和子宮動脈血流阻力指數(shù)變化(RI)。結(jié)果 觀察組治療有效率為93.8%,對照組為81.3%,差異有統(tǒng)計學意義(P<0.05); 觀察組月經(jīng)恢復正常率為70.3%,對照組為46.9%,差異有統(tǒng)計學意義(P<0.05); 觀察組宮腔鏡二次探查中再粘連的發(fā)生率為17.2%,低于對照組的37.5%(P<0.05); 觀察組術(shù)后6個月妊娠成功率高于對照組(P>0.05); 術(shù)后6個月觀察組子宮內(nèi)膜厚度和RI值均優(yōu)于對照組(P<0.05)。結(jié)論 盆底神經(jīng)肌肉電刺激在常規(guī)治療基礎上降低中重度宮腔粘連分離術(shù)后再粘連的發(fā)生率,值得臨床應用。
Abstract:
Objective To analyze the clinical research of pelvic floor neuromuscular electrical stimulation on preventing adhesion after separation of moderate and severe intrauterine adhesions.Methods A total of 128 patients with moderate to severe intrauterine adhesions were selected from January 2018 to December 2020 in our hospital,and they were randomly divided into control group and experimental group,with 64 cases in each group.The control group was treated with intrauterine injection of sodium hyaluronate gel,intrauterine balloon combined with high-dose estrogen.The experimental group was treated with pelvic floor neuromuscular stimulation on the basis of the control group.The short-term efficacy,postoperative menstrual recovery,the incidence of re-adhesion in the second exploration of hysteroscopy and the success rate of pregnancy at six months after operation were observed.The endometrial thickness and uterine artery resistance index(RI)were compared between the two groups.Results The effective rate of the experimental group was 93.8%,and that of the control group was 81.3%,P<0.05; the menstrual recovery rate of the experimental group was 70.3%,and that of the control group was 46.9%,P<0.05; the incidence of re-adhesion in the second exploration of hysteroscopy in the experimental group was 17.2%,which was lower than 37.5% of the control group,P<0.05; the pregnancy success rate of the two groups at six months after operation was not statistically significant,P>0.05; the observation was conducted after six months,and endometrial thickness and RI value of experimental group were better than those of control group,P<0.05.Conclusion On the basis of conventional treatment,pelvic floor neuromuscular electrical stimulation can reduce the incidence of re-adhesion after separation of moderate and severe intrauterine adhesions,which is worthy of clinical application.

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備注/Memo

備注/Memo:
基金項目:福建省龍巖市科技計劃項目(2018LYF5016)
1 福建省立醫(yī)院
更新日期/Last Update: 2021-10-15