Efficacy of biomimetic physiotherapy in preventing adhesions after separation of uterine adhesions / 中国医师杂志

ABSTRACT

Objective To explore the efficacy of biomimetic physiotherapy in preventing adhesions and promote endometrial repair and growth after Transcervical resection of adhesions ( TCRA) . Methods A prospective case-control study method, from January 2016 to May 2017 in Hunan Maternal and Child Health Hospital underwent TCRA in 92 patients were randomly divided into study (45 cases) and control (47 cases) groups. The patients in the study group were treated with biomimetic therapy after TCRA, and were treated with artificial cycles. Three menstrual cycles were treated continuously. The control group was treated with hormone artificial cycle. The menstrual recovery, ovulation endometrium thickness, uterine ar-tery blood flow resistance index ( RI) and second-look hysteroscopy were observed and compared between two groups before and after 1 course of treatment. Results After 1 course of treatment, the efficiency of the study group was significantly better than that of the control group (P<0. 05), and the cure rate of the study group was significantly higher than that of the control group ( P<0. 05 ) . The endometrial thickness of the study group were increased significantly after ovulation (P<0. 05). The uterine artery blood flow resistance was decreased significantly after treatment in the study group (P<0. 05). Conclusions Bionic physiother-apy can improve pelvic circulation, promote endometrial growth, and prevent the formation of adhesions after TCRA to a certain extent.