A Comparative Study of Three Methods of Preventing Intrauterine Adhesions after HEOS

Liyan MENG; Junli GAO; Chunlin LI; Jie NIU; Yan SUN; Chaoqun WANG

doi:10.12259/j.issn.2095-610X.S20240220

Volume 45 Issue 2

Feb. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(2): 141-147

Liyan MENG, Junli GAO, Chunlin LI, Jie NIU, Yan SUN, Chaoqun WANG. A Comparative Study of Three Methods of Preventing Intrauterine Adhesions after HEOS[J]. Journal of Kunming Medical University, 2024, 45(2): 141-147. doi: 10.12259/j.issn.2095-610X.S20240220

Citation:

Liyan MENG, Junli GAO, Chunlin LI, Jie NIU, Yan SUN, Chaoqun WANG. A Comparative Study of Three Methods of Preventing Intrauterine Adhesions after HEOS[J]. Journal of Kunming Medical University, 2024, 45(2): 141-147. doi: 10.12259/j.issn.2095-610X.S20240220

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A Comparative Study of Three Methods of Preventing Intrauterine Adhesions after HEOS

doi: 10.12259/j.issn.2095-610X.S20240220

1.
Dept. of Gynecology，Kunming MCH Hospital，Kunming Yunnan 650032，China

Received Date: 2023-09-21
Available Online: 2024-02-26
Publish Date: 2024-02-25

Abstract

Abstract

Objective To compare the efficacy of three different methods in the prevention of adhesion after the HEOS system for different degrees of intrauterine adhesions. Methods 284 patients with mild, moderate and severe intrauterine adhesions, who were treated with the HEOS system, were divided into three groups, the intrauterine device with sodium hyaluronate gel was placed in Group A, Foley water capsule tube with sodium hyaluronate gel was placed in Group B, and sodium hyaluronate gel was placed in Group C only. The recovery of uterine adhesion, improvement of menstruation, endometrial thickness, and adverse reactions were compared among the three groups. Results The mild intrauterine adhesions group showed statistical differences among the three groups（P<0.05）. Group A had a higher menstrual improvement rate than Group C（P<0.017）, and there was no significant difference in other therapeutic indicators（P>0.017）. However, the adverse reaction rate in Group A was also higher than that in Group C（P<0.017）. In the moderate intrauterine group, there was a significant difference in the improvement rate of intrauterine adhesions between Group B and the other two groups（P<0.017）.Group A and B were higher than Group C in terms of menstrual status, endometrial thickness, and adverse reactions（P<0.017）. In severe intrauterine adhesions, Group A had higher efficacy indicators than other groups（P<0.017）. Conclusions The curative effect index and adverse reaction rate were analyzed, after operation. For the light, moderate, and severe intrauterine adhesions, sodium hyaluronate gel, Foley water capsule tube with sodium hyaluronate gel, and intrauterine device with sodium hyaluronate gel were the best choice for adhesion. Individual and hierarchical management can achieve good clinical effects, which is worth popularizing.
- Intrauterine adhesion,
- HEOS system,
- Intrauter inedevice,
- Foley water bag tube

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References(20)

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