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基于智能医疗的宫腔镜治疗中重度宫腔粘连术后低频神经治疗仪器辅助治疗效果观察。

Observation of the Auxiliary Treatment Effect of Low-Frequency Nerve Therapy Instrument after Hysteroscopy for Moderate and Severe Intrauterine Adhesions Based on Intelligent Medical Treatment.

机构信息

Department of Gynecological Endocrinology, Chongqing Health Center for Women and Children, Chongqing 401147, China.

出版信息

J Healthc Eng. 2022 Apr 11;2022:2929800. doi: 10.1155/2022/2929800. eCollection 2022.

Abstract

Uterine adhesions are mainly manifested as menstrual changes in women of childbearing age and affect fertility. Resection of uterine adhesions can well restore the shape of the patient's uterine cavity and improve the patient's menstruation. However, how to promote the growth of the endometrium and prevent the recurrence of adhesions after the operation is still a major problem. This article aims to study the use of traditional treatment methods as a control and use low-frequency nerve therapy device to assist in the treatment of posterior intrauterine adhesions recurrence rate, menstrual recovery effective rate, adverse reaction rate, liver function, etc. to study the low-frequency nerve therapy device auxiliary treatment method to prevent the postoperative effect of intrauterine adhesions. This article proposes an image processing algorithm based on intelligent medical related algorithms such as deep learning, Apriori algorithm, and an improved algorithm that introduces the degree of interest and details of 140 patients diagnosed with moderate to severe intrauterine adhesions who underwent hysteroscopic TCRA surgery in a certain affiliated hospital. The medical records were followed up by hysteroscopy and electric resection, and they were randomly divided into a control group and an observation group, with 70 cases in each group. Both groups of patients were closely monitored postoperatively, followed by postoperative review, and recorded menstrual recovery and pregnancy. At the same time, we performed hysteroscopy for recurrence of endometrial adhesions. The experimental results of this article show that the actual treatment rate of the control group is 65.7%, which is much lower than the 95.7% of the experimental group. The probability of returning to normal after 3 months of menstruation in the control group was 34.0%, much lower than the 69% in the experimental group. Three months after operation, the endometrial thickness of the experimental group was much higher than that of the control group, and the RI was lower than that of the control group. The difference was statistically significant ( < 0.05). The clinical treatment results are satisfactory and worthy of clinical screening.

摘要

宫腔粘连主要表现为育龄期妇女的月经改变,影响生育。宫腔粘连切除术能很好地恢复患者子宫腔的形态,改善患者的月经情况。但如何促进子宫内膜的生长,防止术后粘连的复发仍是一个重大问题。本文旨在研究采用传统治疗方法作为对照,使用低频神经治疗仪辅助治疗宫腔粘连术后复发率、月经恢复有效率、不良反应率、肝功能等,研究低频神经治疗仪辅助治疗方法对预防宫腔粘连术后的效果。本文提出了一种基于深度学习、Apriori 算法和改进算法等智能医疗相关算法的图像处理算法,对在某附属医院因中重度宫腔粘连接受宫腔镜 TCRA 手术的 140 例患者的医疗记录进行了随访,通过宫腔镜和电切术进行了回顾性分析,将他们随机分为对照组和观察组,每组 70 例。两组患者术后均密切监测,术后复查记录月经恢复和妊娠情况。同时,我们对子宫内膜粘连的复发情况进行了宫腔镜检查。本文的实验结果表明,对照组的实际治疗率为 65.7%,明显低于实验组的 95.7%。对照组患者在 3 个月后恢复正常月经的概率为 34.0%,明显低于实验组的 69%。术后 3 个月,实验组的子宫内膜厚度明显高于对照组,RI 低于对照组,差异有统计学意义(<0.05)。临床治疗效果满意,值得临床筛选。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e610/9017449/6565d86128ba/JHE2022-2929800.001.jpg

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