Clinical Efficacy Of Pelvic Floor Bioelectric Stimulation In Endometrial Repair

[Objective]Thin endometrium can cause secondary menstrual loss,amenorrhea,and fertility decline in women of childbearing age.The treatment methods are diverse but the reports on their efficacy are different.This experiment applies pelvic floor bioelectric stimulation to patients with thin endometrium after intrauterine surgery.Evaluate their clinical efficacy in endometrial repair,thus providing more treatment methods and theoretical basis for the treatment of thin endometrium.[Method]A total of 150 patients with thin endometrium after uterine surgery at the Gynecology Center of Qingdao municipal Hospital from October 2008 to October 1818 were randomly divided into three groups:A,B,and C.Group A(50 cases)was the natural cycle group and no treatment was performed.Group B(50 cases)was given to the estrogen and progesterone treatment group,starting from the 5th day of the menstrual cycle,oral estradiol valerate(Bujiale)2mg/time,3 times/day,for 21 days,and add progesterone capsules during the last 10 days of the menstrual cycle,100 mg/time,2 times/day.After the two drugs are stopped,menstrual cramps,this is a cycle of treatment,the next cycle of treatment begins on the 5th day ot the menstrual cycle,with a total of 3 menstrual cycles;group C(50 cases)for estrogen and progesterone combined with pelvic bioelectric stimulation group,the method of treatment of estrogen and progesterone is the same as group B,starting from the 9th day of the menstrual cycle,using PHENIX 8 bio-therapeutic apparatus,followed by biofeedback and electrical stimulation.Biofeedback therapy:30 minutes/time,once every other day,5 times for a course of treatment,a total of 3 menstrual cycles;electrical stimulation therapy:blood flow activation(frequency 2HZ,pulse width 3ms)+blood flow acceleration(frequency 3HZ,Pulse width 3ms)program,40 minutes/time,every other day,5 times for a course of treatment,a total of 3 menstrual cycle;observed changes in menstrual volume before and after treatment in three groups of patients and endometrial thickness of urinary LH peak,uterine spiral artery resistance Index(RI)and evaluation of the efficacy of the three groups.[Result]1.There was no significant difference in the endometrial thickness and uterine spiral arterial resistance index(RI)between the three groups before treatment(P>0.05).(See Table 1)2.The menstrual volume,endometrial thickness and uterine spiral arterial resistance index(RI)of group A had no significant change compared with before enrollment and there was no significant difference in menstrual volume,endometrial thickness and RI before treatment(P>0.05).The menstrual volume of patients in group B increased from(13.58±8.12mL)to(18.62±8.70mL),the thickness of endometrium increased from(5.43±0o.80mm)to(7.59±0.59mm),and the uterine spiral arterial resistance index was(0.61±0.06)decreased to(0.54±0.06),and the difference between menstrual volume and endometrial thickness was statistically significant(P<0.05).The menstrual volume of patients in group C increased from(14.36±7.60mL).To(22.60±9.45mL),the endometrial thickness increased from(5.60±0.69mm)to(8.10±0.56mm),the uterine spiral arterial resistance index decreased from(0.59±0.06)to(0.47±0.09),and the menstrual volume The difference of endometrial thickness and uterine spiral arterial resistance index was statistically significant(P<0.05).After treatment,the menstrual volume and endometrial thickness of group B and group C were higher than those of group A,and the uterine spiral arterial resistance index(RI)was lower than that of group A,and the difference was statistically significant(P<0.05);After treatment,the menstrual volume and endometrial thickness of group C were higher than those of group B.The uterine spiral artery resistance index was lower than that of group B.There was a statistical difference between menstrual volume and uterine spiral artery resistance index between the two groups.Academic significance(P<0.05).[conclusion]1.Oral estrogen and progesterone are effective for endometrial repair;2.On the basis of oral treatment of estrogen and progesterone,combined with pelvic floor bioelectric stimulation,the effect of repairing the endometrium is better.