Clinical study on the prevention of re-adhesion by Foley balloon and intrauterine stents after hysteroscopic adhesiolysis
宫腔粘连术后放置Foley球囊与宫腔支架预防再粘连的临床研究

摘要

目的 观察对宫腔粘连手术患者放置Foley球囊与宫腔支架进行治疗的效果。方法 随机在本院2025年3月-12月宫腔粘连手术患者中选择76例为对象，随机分为Foley球囊组（对照组，38例）和一次性宫腔支架组（观察组，38例）。两组均在宫腔镜下行粘连分离术，术后分别放置Foley球囊或一次性宫腔支架，并统一采用雌孕激素人工周期治疗。对两组临床疗效、月经恢复率以及并发症进行统计。结果 临床疗效、月经恢复率，观察组均高于对照组（P<0.05）。宫腔再粘连发生率、并发症发生率，观察组低于对照组（P<0.05）。结论 在对宫腔粘连患者治疗过程中在宫腔粘连术治疗的基础上放置宫腔支架，可以降低再粘连发生率，促进患者宫腔进行恢复，降低并发症发生率。

Abstract

Objective To observe the effects of placing a Foley balloon and a single-use intrauterine stent in patients undergoing hysteroscopic adhesiolysis.
Methods A total of 76 patients who underwent hysteroscopic adhesiolysis from March to December 2025 were randomly selected and divided into a Foley balloon group (control group, 38 cases) and a single-use intrauterine stent group (observation group, 38 cases). Both groups underwent hysteroscopic adhesiolysis, followed by the placement of a Foley balloon or a single-use intrauterine stent, with unified estrogen-progestin artificial cycle therapy. Clinical efficacy, menstrual recovery rate, and complication rates were compared between the two groups.
Results The observation group showed higher clinical efficacy and menstrual recovery rate than the control group (P<0.05). The incidence of intrauterine re-adhesion and complications was lower in the observation group than in the control group (P<0.05).
Conclusion   Placing an intrauterine stent during hysteroscopic adhesiolysis can reduce the incidence of re-adhesion, promote uterine cavity recovery, and lower complication rates in patients with intrauterine adhesions.