|
|
|
| The influence of disposable balloon uterine stent for patients after intrauterine adhesion exclusion on the clinical effect |
| Fuyang People's Hospital, Anhui Province, 236000 |
|
|
|
|
Abstract To explore the influence of disposable balloon uterine stent for patients after intrauterine adhesion exclusion on their menstrual recovery and later pregnancy, and to analyze the related factors of recurrence of intrauterine adhesion.Methods：The clinical data of 108 patients with intrauterine adhesion exclusion from January 2018 to December 2019 were analyzed retrospectively.These patients were divided into groups A and B according to the different surgical methods.56 patients in group A were given disposable balloon uterine stent after operation, and 52 patients in group B were given intrauterine device after operation.The menstrual recovery, the recurrence of intrauterine adhesion within 1 month after operation, and pregnancy within 1 year after operation, and adverse reaction rate of the patients were compared between the two groups.The related factors of the intrauterine adhesion recurrence of the patients were analyzed.Result：The total rate of menstrual recovery（85.7%) of the patients in group A was significant higher than that（73.1%) of the patients in group B.The total effective rate（96.4%) of preventing readhesion of the patients in group A was significant higher than that（76.9%) of the patients in group B.The incidence of adverse reactions（3.6%) of the patients in group A was significant lower than that（21.2%) of the patients in group B.The incidence of postoperative readhesion（8.9%) of the patients in group A was significant lower than that（42.3%) of the patients in group B（P<0.05).Logistic regression analysis showed that times of intrauterine operation, the history of intrauterine operation by the provider from the hospital below the county level, embryo damage history, and history of curettage caused by embryo termination during the second or third trimester of pregnancy were the independent risk factors of intrauterine adhesion recurrence（P<0.05).Conclusion: The disposable balloon uterine stent for patients after intrauterine adhesion exclusion has ideal clinical effect, which can effectively promote menstrual recovery, improve the pregnancy outcomes, reduce the probability of intrauterine adhesion recurrence, and reduce adverse reactions.The number of uterine operations, the history of intrauterine operation by the provider from the hospital below the county level, embryo damage history, and history of curettage caused by embryo termination during the second or third trimester of pregnancy are the independent risk factors affecting intrauterine adhesion recurrence, which all should be paid more attention to.
|
|
|
|
|
|
|
|
|
