[1]黄文蓉,解 斐,宋保志,等.盆底神经肌肉电刺激对中重度宫腔粘连分离术后预防再粘连的临床研究[J].福建医药杂志,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.
点击复制

盆底神经肌肉电刺激对中重度宫腔粘连分离术后预防再粘连的临床研究()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期数:
2021年05期
页码:
9-12
栏目:
临床研究
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
文章编号:
1002-2600(2021)05-0009-04
作者:
黄文蓉; 解 斐; 宋保志1; 曾昭珍; 林瑞莲; 彭燚琼
福建省龙岩市第二医院(龙岩 364000)
Author(s):
HUANG Wenrong; XIE Fei; SONG Baozhi; ZENG Zhaozhen; LIN Ruilian; PENG Yiqiong
The Second Hospital of Longyan,Fujian,Longyan 364000,China
关键词:
盆底神经肌肉电刺激;  宫腔粘连;  疗效
Keywords:
pelvic floor neuromuscular electrical stimulation;  intrauterine adhesions;  curative effect
分类号:
R713
文献标志码:
B
摘要:
目的 分析盆底神经肌肉电刺激在预防中重度宫腔粘连分离术后再粘连的临床效果。方法 选取本院收治的中重度宫腔粘连分离术后患者128例,随机分为对照组和观察组各64例。对照组术后应用宫腔放置透明质酸钠凝胶、宫腔球囊联合大剂量雌激素等综合性治疗,观察组在对照组基础上给予盆底神经肌肉电刺激治疗。观察两组近期疗效、术后月经恢复情况、宫腔镜二次探查中再粘连的发生率及术后6个月妊娠成功率,比较两组子宫内膜厚度和子宫动脉血流阻力指数变化(RI)。结果 观察组治疗有效率为93.8%,对照组为81.3%,差异有统计学意义(P<0.05); 观察组月经恢复正常率为70.3%,对照组为46.9%,差异有统计学意义(P<0.05); 观察组宫腔镜二次探查中再粘连的发生率为17.2%,低于对照组的37.5%(P<0.05); 观察组术后6个月妊娠成功率高于对照组(P>0.05); 术后6个月观察组子宫内膜厚度和RI值均优于对照组(P<0.05)。结论 盆底神经肌肉电刺激在常规治疗基础上降低中重度宫腔粘连分离术后再粘连的发生率,值得临床应用。
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.

参考文献/References:

[1] 张惠玲,陈冀莹,黄海雁.宫腔镜粘连分离术对不同程度的宫腔粘连患者的复发及妊娠结局的比较[J].生物医学工程与临床,2020,24(3):302-305.
[2] 崔丹华.电子灸治疗宫腔镜下宫腔粘连分解术后放置子宫球囊支架患者疼痛的效果观察[J].浙江临床医学,2020,22(8):1126-1128.
[3] 汤锶锶,刘恒炼,白殊同,等.补肾活血方联合宫腔灌注治疗对宫腔粘连相关机制TGF-β1、Smad2和Smad3的影响分析[J].重庆医科大学学报,2020,45(5):660-666.
[4] 宋芷霜,郭华锋,郭宝芝,等.中重度宫腔粘连术前应用雌激素预处理的临床效果[J].中国妇幼保健,2020,35(12):2171-2173.
[5] 叶琴,薛恩生,梁荣喜,等.经阴道三维超声容积成像与断层超声显像技术对宫腔粘连的诊断及漏诊分析[J].中华超声影像学杂志,2020,29(3):255-259.
[6] 陈贵芹,李娜,王显,等.不同宫腔内装置方法用于预防宫腔粘连分离术后再粘连的临床疗效研究[J].中华生殖与避孕杂志,2020,40(5):388-393.
[7] 爨米荣,杨晨光,侯彩云,等.下腹部经皮电刺激对稽留流产及不全流产妇女术后子宫内膜厚度及血流动力学影响[J].中国计划生育学杂志,2019,27(6):702-705.
[8] 胡丽莉,杨菁,闫文杰,等.中重度宫腔粘连宫腔镜术后低频神经治疗仪辅助治疗效果观察[J].武汉大学学报:医学版,2018,39(5):826-829.
[9] 舒芊,兰鹰,陈苑,等.神经肌肉电刺激对人工流产术后宫腔粘连及月经量减少的预防作用[J].昆明医科大学学报,2017,38(11):107-111.
[10] 何淑明,梁丽霞,黄惠芳,等.仿生物电刺激治疗卵巢储备功能下降患者的疗效[J].广东医学,2013,34(12):1851-1855.
[11] 吴菲,罗军,龙婷,等.仿生物电刺激联合人工周期治疗中重度宫腔粘连的临床疗效[J].医学临床研究,2019,36(4):672-674.
[12] 刘静乔,郑燕,王玉静,等.阿司匹林联合盆底平滑肌电刺激对宫腔粘连分离术后患者子宫内膜MVD和VEGF表达的影响及其临床意义[J].吉林大学学报:医学版,2019,45(6):1408-1414.
[13] 郭建芳,兰艳丽.穴位PHENIX电刺激预防稽留流产术后并发症的临床观察[J].上海针灸杂志,2017,36(5):578-580.

备注/Memo

备注/Memo:
基金项目:福建省龙岩市科技计划项目(2018LYF5016)
1 福建省立医院
更新日期/Last Update: 2021-10-15