Analysis of Endometrial Thickness and Effect of Hysteroscopic Cold Knife Technique in Treatment of Uterine Adhesions
Objective To observe the effect of hysteroscopic cold knife treatment on patients with intrauterine adhesions and the changes of endometrial thickness and other indicators.Methods From May 2022 to May 2023,a total of 100 patients with intrauterine adhesions treated in the department of gynecology,Fuzhou First Hospital Affiliated to Fujian Medical University were selected as the study objects.50 patients were randomly selected by computer software as the control group,and the other 50 patients were selected as the study group.The control group was treated with hysteroscopic plasma resection,and the study group was treated with hysteroscopic cold knife micro-scissors.The clinical efficacy,operation time,hospital stay,dosage of uterine distension solution,intraoperative blood loss,recurrence rate 3 months after operation,uterine cavity volume,endometrial thickness and complications before and after treatment were compared between the two groups.Results The total effective rate of the study group was 98.00%,which was higher than that of the control group(82.00%),and the difference was statistically significant(P<0.05).The recurrence rate of the study group was 4.00%and that of the control group was 24.00%at 3 months after operation,and the difference was statistically significant(P<0.05).Compared with the control group,the length of hospital stay,operation time in the study group were relatively shorter,and the amount of uterine distension fluid used and intraoperative blood loss were relatively less,with statistical significance(P<0.05).General linear model was used to compare and analyze the uterine cavity volume and endometrial thickness of different groups of patients before and after treatment.Before treatment,there was no significant difference in uterine cavity volume and endometrial thickness between the two groups(P>0.05).After treatment,the study group had larger uterine cavity volume and better endometrial thickness than the control group,and the differences were statistically significant(P<0.05).No complications occurred in the study group,although there were 2 cases in the control group,there was no significant difference compared with the study group,and the difference was not statistically significant(P>0.05).Conclusion The treatment effect of hysteroscopic cold knife technique on intrauterine adhesions is more significant than that of hysteroscopic plasma resection,with less trauma,higher safety,faster postoperative recovery,lower recurrence rate,and more significant improvement of uterine cavity volume and endometrial thickness.
heroscopic cold knife techniqueintrauterine adhesionsendometrial thicknessuterine cavity volumecomplicationeffect of treatment
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