The Efficacy Comparison and Analysis of IUD and Artificial Cycle in the Prevention of Intrauterine Adhesions

TANG Yu-yan

doi:10.3969/j.issn.1674-6805.2013.21.005

Abstract： Objective:To compare and analyze IUD and artificial cycle efficacy in the prevention and treatment of intrauterine adhesions.Methods:100 routinely admitted to our hospital From January to December 2012 between endometrial multiple polyps electrical excision procedure(TCRP),transurethral resection of submucous myoma(TCRM),intrauterine adhesions electrosurgical excision procedure(TCRA) patients as research subjects,were randomly divided into the research group,the control group,each group of 50 patients.Control group after hysteroscopic electrosurgery,putted“○”type IUD into intrauterine, the study group on the basis of the control group,then added artificial cycle.Results:50 cases in the control group in patients with infertility and menstrual flow were too small 4 cases(8%),simple hypomenorrhea 10 cases(20%),amenorrhea three cases(6%),periodic abdominal pain in 27 patients(54%);50 cases of the study group patients with too little 0 case,simple hypomenorrhea three cases(6%),amenorrhea 0 case,periodic abdominal pain in 7 cases (14%);50 cases in the control group patients after treatment indexing gradeⅠthree cases,adhesions indexingⅡgrade 4 cases,adhesions indexingⅢgrade five cases, adhesions indexingⅣgrade 4 cases,adhesions indexing theⅤlevel 8 cases the adhesion incidence of 48%;50 cases of the study group patients after treatment of intrauterine adhesions indexing gradeⅠtwo cases,adhesions the indexingⅡlevel 3 cases,adhesions indexingⅢgrade 1 cases,adhesions indexing levelⅣ0 cases,adhesions indexingⅤgrade 0 cases,the adhesion incidence of 12%.Conclusion:The effect of IUD intrauterine devices and artificial cycle in prevention of intrauterine adhesions is far better than simply using the IUD intrauterine devices.