原创《宫腔粘连综合治疗临床疗效探析》：本文关于宫腔粘连论文范文,可以做为相关论文参考文献,与写作提纲思路参考。
[摘 要] 目的 探析宫腔粘连综合治疗临床疗效.方法 方便选取2015年1月—2016年12月该科收治并有完整的病史资料的宫腔粘连患者78例,随机分为手术治疗对照组和综合治疗观察组,分别采用相应的治疗手段,并随访3个月,评估治疗效果,指导备孕,记录妊娠情况.结果 观察组治疗总有效为92.3%,显著高于对照组的69.2%,差异有统计学意义（P<0.05）；截至最后1例患者3个月随访结束,观察组成功妊娠率为48.7%,显著高于对照组的25.6%,差异有统计学意义（P<0.05）；观察组足月分娩率为33.3%,顯著高于对照组的12.8%,差异有统计学意义（P<0.05）.结论 综合治疗模式临床治疗有效率较高,术后患者子宫内膜恢复良好,妊娠成功率高,且无不良反应发生,是一种安全有效的宫腔粘连治疗方式.
[关键词] 宫腔粘连；综合治疗；宫腔粘连分离术
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0039-03
[Abstract] Objective To study the clinical curative effect of comprehensive treatment of intrauterine adhesion. Methods 78 cases of intrauterine adhesion patients with complete disease history from January 2015 to December 2016 were convenient selected and randomly divided into two groups, and the control group and the comprehensive treatment observation group were followed up for 3 months, and the treatment effect was evaluated for guiding pregnancy preparation and the pregnancy situation was recorded. Results The total effective rate in the observation group was obviously higher than that in the control group （92.3% vs 69.2%）, and the difference was statistically significant（P<0.05）, and the successful pregnancy rate in the observation group was obviously higher than that in the control group as of the end of 3-month follow-up, （48.7% vs 25.6%）, and the difference was statistically significant（P<0.05）, and the full-term delivery rate in the observation group was higher than that in the control group （33.3% vs 12.8%）, and the difference was statistically significant（P<0.05）. Conclusion The clinical effective rate of comprehensive treatment is high, and the recovery of endometriuma of patients after surgery is good with high successful pregnancy and without adverse reactions, and it is a safe and effective treatment method of intrauterine adhesion.
[Key words] Intrauterine adhesion； Comprehensive treatment； Hysteroscopic adhesiolysis
宫腔粘连（IUA）主要宫腔操作、手术炎症、放射以及化学药物等原因导致子宫内膜受损引起,多见于有不良孕产史和人流产史的患者中[1],以反复性流产、不孕、月经量减少及闭经等为临床表现的一种创伤后疾病[2].宫腔镜下宫腔粘连分离术（TCRA）是目前宫腔粘连治疗最理想的方法,但是单纯采用TCRA术后仍有一部分患者会出现宫腔粘连[3].该研究采用单纯TCRA治疗和综合治疗疗法治疗2015年1月—2016年12月期间该科室收治的宫腔粘连病例78例,对比两种治疗方法的疗效,现将研究结果报道如下.
1 资料与方法
1.1 一般资料
方便选取该科收治并有完整的病史资料宫腔粘连患者78例.患者年龄25～41岁,平均（28.7±3.8）岁；患者就诊原因包括月经量明显减少62例,闭经16例,患者均有宫腔手术操作史；其中3次以上人流史有38例,2次流产史者22例,一次流产史12例,6例进行过宫腔息肉摘除术.运用随机信封发将纳入研究患者分为综合治疗组和常规手术组,各39例.两组年龄、月经情况、宫腔手术史分布比例具有可比性,差异无统计学意义（P>0.05）.
1.2 方法
两组均做好术前盆腔炎症评估,对于有盆腔炎症的患者进行抗炎治疗,确保炎症消除后再行手术治疗.对照组行单纯TCRA治疗,观察组在对照组的基础上术后行综合治疗.
宫腔粘连论文参考资料：
结论：宫腔粘连综合治疗临床疗效探析为关于宫腔粘连方面的论文题目、论文提纲、宫腔粘连论文开题报告、文献综述、参考文献的相关大学硕士和本科毕业论文。
