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目的 探索宫腔粘连(IUA)的影响因素并分析IUA患者术后的心理状况。方法 回顾性分析2020年1月1日至2021年8月31日在川北医学院附属医院行宫腔镜下宫腔粘连分离术(TCRA)的220例IUA患者的临床资料，并于术后2年通过电话或门诊随访患者的人口统计学特征、月经改善情况，并采用汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)评估患者的心理状况。根据患者的术前宫腔粘连程度分组(轻度92例、中度76例、重度52例),统计分析各组间的差异。结果 轻、中、重度粘连组中夫妻关系好者占比分别为79.35%、55.26%、42.31%,组间差异有统计学意义(P<0.05);重度粘连组宫腔操作次数显著高于轻度、中度粘连组(P<0.05),而轻度、中度粘连组间的差异无统计学意义(P>0.05)。术后2年，轻、中、重度粘连组月经改善总有效率分别为90.22%、78.95%、63.46%,组间差异有统计学意义(P<0.05),轻度粘连组改善最明显。术后2年，轻、中、重度粘连组HAMA评分分别为(6.29±4.42)分、(7.83±5.31)分、(8.54±5.14)分，HAMD评分分别为(6.10±4.51)分、(8.00±5.55)分、(8.77±5.72)分，其中轻度粘连组HAMA、HAMD评分均显著低于中度、重度粘连组(P<0.05),而中度与重度粘连组间HAMA、HAMD评分比较，差异无统计学意义(P>0.05)。结论 夫妻关系及宫腔操作次数是IUA的重要影响因素，夫妻关系越好者宫腔粘连程度越轻，宫腔内操作频次越高者重度粘连发生率越高；术前粘连程度影响术后患者月经改善情况及心理状况，术前粘连程度轻者术后月经改善程度更好、焦虑/抑郁状况更轻。
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基本信息:
中图分类号:R713.4
引用信息:
[1]颜彤,夏智勇,刘胜凤,等.宫腔粘连的影响因素及术后患者心理状况的分析[J].生殖医学杂志,2024,33(03):381-385.
基金信息:
南充市科技项目(市校科技战略合作专项19SXHZ0338)
2023-10-23
2023
2023-12-15
2024-01-31
2024
1
2024-03-15
2024-03-15