盆底神经肌肉电刺激联合人工周期治疗宫腔粘连的临床效果

Clinical Effect of Pelvic Floor Neuromuscular Eelectrical Stimulation Combined with Artificial Cycle in Treatment of Intrauterine Adhesions

摘要: 目的：观察盆底神经肌肉电刺激联合人工周期对中重度宫腔粘连的临床疗效。方法：回顾性分析143例中重度宫腔粘连患者的病例资料，根据手术后预防宫腔粘连治疗方案的不同将病例进行分组。A组：宫腔粘连分离术后使用人工周期治疗(n = 74)；B组：宫腔粘连分离术后使用盆底神经肌肉电刺激联合人工周期治疗(n = 69)。所有患者用药疗程为3个月，术后3个月、6个月内定期随访，比较2组治疗后宫腔恢复情况及月经恢复情况。结果：相同粘连程度A、B组患者进行对比：中度宫腔粘连的患者，两组病例在宫腔形态恢复情况、月经恢复情况上差异无统计学意义(P > 0.05)；重度宫腔粘连的患者，两组病例在宫腔形态恢复情况、月经恢复情况上，差异有统计学意义(P < 0.05)。结论：TCRA术后予以盆底神经肌肉电刺激联合人工周期治疗能够增加子宫内膜的血流灌注、促进宫腔形态和月经恢复、预防宫腔粘连的复发。

Abstract: Objective: To observe the clinical effect of pelvic floor neuromuscular electrical stimulation combined with artificial cycle on moderate and severe intrauterine adhesions. Methods: The clinical data of 143 patients with moderate and severe intrauterine adhesions were retrospectively analyzed, and the patients were divided into groups according to different treatment schemes for preventing intrauterine adhesions after operation. Group A: artificial cycle treatment after intrauterine adhesion separation (n = 74); Group B: pelvic floor neuromuscular electrical stimulation combined with artificial cycle treatment after intrauterine adhesion separation (n = 69). The treatment course of all patients was 3 months, and the patients were followed up regularly 3 and 6 months after the operation, and the uterine cavity recovery and menstrual recovery were compared between the 2 groups after the treatment. Results: Comparison of patients in group A and B with the same degree of adhesions: there was no statistical significance in the recovery of uterine cavity shape and menstrual recovery between the two groups of patients with moderate intrauterine adhesions (P > 0.05); for patients with severe intrauterine adhesions, there were statistically significant differences in the recovery of intrauterine morphology and menstrual recovery between the two groups (P < 0.05). Conclusion: Pelvic floor neuromuscular stimulation combined with artificial cycle therapy after TCRA can increase endometrial blood perfusion, promote uterine morphology and menstrual recovery, and prevent the recurrence of intrauterine adhesion.