A Comparison Of Postoperative Adhesion Methods For The Treatment Of Intrauterine Adhesion By Hysteroscopy

Objective: To compare the clinical effect of transcervical resection of adhesion(TCRA)in the prevention of uterine readhesion.Methods:Clinic in shengjing hospital were retrospectively analyzed and in September2015 to December 2016 in shengjing hospital affiliated to China medical university confirmed as caused by intrauterine adhesions(intrauterine adhesions,IUA)of 133 cases of patients with data,the patients were randomly divided into group A,65,68,group B patients.All patients caused by intrauterine adhesions release of intrauterine application of chitosan to prevent adhesion,all patients with postoperative application of artificial cycle to prevent adhesion,in addition to A group of patients who intrauterine placed intrauterine device,group B: intraoperative intrauterine placed Foley catheter balloon.By observing the recovery of uterine cavity in 1 year after operation,the improvement of menstruation and the condition of pregnancy,the two methods of prevention of uterine adhesion were compared.Therefore,it provides theoretical and practical basis for the diagnosis and treatment of patients with intrauterine adhesions.Results: The overall cure rate of group A and group B was 55.8% and 59.1%,with no statistical significance(P>0.05).The efficiency of the group was 76.7% and 84.1 %,respectively.The difference was not statistically significant(P > 0.05).For the recovery of uterine cavity,the overall cure rate of group A and group B was 55.8% and 61.4%,and the difference was not statistically significant(P> 0.05).The effective rate of the A.B group was 76.7% and 88.7 % respectively,and the difference was not statistically significant(P >0.05).For the recovery of menstruation,the effective rate was 79% and86.3%,respectively.The difference was not statistically significant(P>0.05).The pregnancy rate was 27.9% and 43.1%,respectively,and the difference was not statistically significant(P>0.05).For severe caused by intrauterine adhesions relieve postoperative patients,group A and group B overall cure rate is 24%,38.1% respectively,effectiveness 64%,71.4%respectively,there were no statistically significant difference(P>0.05),group A,B group of patients with uterine form the cure rate is 32.0%,38.1% respectively,there was no statistically significant difference(P>0.05),group a.uterine recovery effectiveness were 64% and 76.2% respectively,there was no statistically significant difference(P>0.05),group a.menstrual improve effectiveness were 72% and 76.1%respectively,there was no statistically significant difference(P>0.05),group a.efficient pregnancy rates were 16% and 28.5%,there was no statistically significant difference(P>0.05)Conclusion:Intraoperative intrauterine placed Foley balloon in combination with chitosan,artificial cycle and the postoperative infusion joint chitosan,placed intrauterine device in preventing postoperative application of artificial cycle caused by intrauterine adhesions relieve postoperative adhesion again have achieved excellent results,two groups of patients in the treatment of uterine cavity shape on the efficient and recover.Menstrual improvement and pregnancy rate,there was no significant difference on all worthy of clinical promotion.