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adhesiolysis 1

adhesive small bowel obstruction 1

antiadhesion treatments 1

dropirenone and ethinylestradiol tablets 1

hyperosmolar water soluble contrast medium 1

intrauterine adhesions 1

missed abortion 1

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patients treated with dropirenone and ethinylestradiol tablets after curettage to prevent intrauterine adhesions

Zhao Xianli,Liu Chaoyang,Tan Hongwei,Zhang Endi

Strategic Study of CAE 2015, Volume 17, Issue 6, Pages 13-15

Abstract:

目的：观察稽留流产清宫术后服用屈螺酮炔雌醇片对减轻宫腔粘连发生的效果。方法：选择2013年6月至2014年6月在西北妇女儿童医院（陕西省妇幼保健院）诊断为稽留流产并实施清宫术的患者220例，随机分成观察组和对照组，每组110例。两组患者均在清宫术前服用米非司酮片150 mg和米索前列醇片600 μg治疗，术后常规应用抗生素3天。观察组：清宫术后给予屈螺酮炔雌醇片，每天服用一片，连续3个周期，对照组：患者实施清宫术后不给予屈螺酮炔雌醇片治疗。观察手术时间、胚胎绒毛大小、患者阴道流血持续时间、月经复潮时间、术后2周超声检查子宫内膜以及宫腔镜检查宫腔粘连情况。结果：观察组术后阴道流血天数（（4.98±0.80）天）及月经复潮时间（（28.41±1.61）天）显著少于对照组（P＜0.05）。观察组患者术后子宫内膜厚度（（9.12±1.12） mm）明显高于对照组子宫内膜厚度（（6.23±1.16）mm），两组比较差异有统计学意义（P＜0.05）。观察组的宫腔粘连率显著低于对照组（x2=4.67，P=0.031）。结论：清宫术后口服屈螺酮炔雌醇片是减少稽留流产术后发生宫腔粘连的一种安全有效的方法。

Keywords： missed abortion intrauterine adhesions dropirenone and ethinylestradiol tablets

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Severe adhesive small bowel obstruction

Salomone Di Saverio, Fausto Catena, Michael D. Kelly, Gregorio Tugnoli, Luca Ansaloni

Frontiers of Medicine 2012, Volume 6, Issue 4, Pages 436-439 doi: 10.1007/s11684-012-0221-7

Abstract: Research interest and clinical evidence are increasing in adhesions prevention.Hyaluronic acid-carboxycellulose membrane and icodextrin may reduce incidence of adhesions.

Keywords： post-operative intraperitoneal adhesions adhesive small bowel obstruction adhesiolysis antiadhesion treatments