宫腔镜电切术后放置T型节育器预防粘连45例临床观察

目的:宫腔镜电切术后放置T型节育器预防宫腔或宫颈管粘连。方法:行宫腔镜电切术45例,于电切手术结束应用催产素10~20 U静脉注射后观察无出血,探测宫腔深度后放置T型节育器。根据电切类型不同,于术后1~3个月取出节育器,并行宫腔镜检查,判断是否存在宫腔或宫颈管粘连。结果:宫腔镜电切术45例。术后3个月随访并行宫腔镜检查,除宫腔粘连分离术4例中粘连1例(25.00%);其余均未发现宫腔粘连。结论:宫腔电切术放置T型节育器对预防宫腔或宫颈管粘连有效,有效率达97.78%。利用T型节育器的两侧横臂及带尾丝的纵杆将子宫颈管及宫腔前后壁分开,预防粘连,且取器容易、方便,值得推广。

Effect of adhesion prevention by hysteroscopic electroresection for T type intrauterine device installation in 45 cases

Objective: To explore the prevention of adhesion of uterine cavity or endocervical canal by installation of T type intrauterine device after hysteroscopic electroresection.Methods: Forty people intending to install intrauterine device underwent hysteroscopic electroresection,then infused oxytocin 10～20 U intravenously,detected depth of uterine cavity after bleeding had ceased and installed T type intrauterine devices.The intrauterine devices were withdrawn in 1~3 months according to different electroresection;then underwent hysteroscopy to investigate whether there was adhesion of uterine cavity or endocervical canal.Results: Forty five cases were follow-up and underwent hysteroscopy in 3 months after electroresection,one of the 4 cases who had undergone separation for the adhesion of uterine cavity took place adhesion(25.00%),the others without adhesion.Conclusion: T type intrauterine device installation after hysteroscopic electroresection can prevent adhesion of uterine cavity or endocervical canal effectively,the rate of efficiency was 97.78%.With transverse bars on both sides and longitudinal rod with thread tail,the T type intrauterine device is able to prevent adhesion by separating anterior wall and posterior wall of the uterine cavity as well as endocervical canal,can be withdrawn easily.It deserves generalization.