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This study is to evaluate the effect of pelvic floor muscle electrophysiologic therapy on enhanced recovery after gynecologic surgery,to solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions.
Pelvic floor muscle electrophysiologic therapy is widely used in the treatment of pelvic floor dysfunction diseases at home and abroad. Electrical stimulation can also relieve depression and anxiety and play a sedative effect. In recent years, some studies have shown that pelvic floor electrophysiological therapy can improve the intimal blood flow resistance index of thin endometrium. Therefore, whether or not the pelvic floor electrophysiological therapy can relieve the muscle soreness caused by carbon dioxide retention after endoscopic surgery, reduce the postoperative urinary retention, shorten the postoperative anus exhaust time, and repair the endometrium after the intrauterine adhesion. we expect this electrophysiologic therapy can solve some common postoperative complications and difficult problems, such solve muscle soreness and retention of urine after laparoscopy, and endometrial repair after electrosurgical resection of intrauterine adhesions. Hope to help patients recover quickly after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electrophysiologic therapy group | Experimental | apply electrophysiologic therapy after surgery |
|
| non-electrophysiologic therapy group | No Intervention | do not apply electrophysiologic therapy after surgery |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrophysiologic therapy | Device | Pelvic floor electrophysiological therapy is used after common gynecologic surgery to record anal exhaust time and micturition time after surgery and endometrium recovery of intrauterine adhesions.For intrauterine adhesions patients, Drug: Aspirin(low dose of Aspirin after operation)Device: intrauterine balloon (insert intrauterine balloon after operation) |
| Measure | Description | Time Frame |
|---|---|---|
| time of anal exhaust and urination after gynecologic surgery | within three days after gynecologic surgery | |
| Endometrial Thickness of All Participants in the Mid Menstrual Measured by Color Doppler Ultrasound | Within the first 3 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Menstruation Pattern(Improvement or No Significant Change) of All Participants | Within the first 3 months after surgery | |
| Reduction of American Fertility Society adhesion score at Second-look hysteroscopy of All Participants | The severity and extent of intrauterine adhesions were scored according to a classification system recommended by the American Fertility Society (AFS) (1988 version) [7]. A score of 1-4 was considered to represent mild adhesions, a score of 5-8 was considered to represent moderate adhesions and a score of 9-12 represented severe adhesion |
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Inclusion Criteria:
.After electrocision of intrauterine adhesions;
.Or after common gynecologic laparoscopic surgery,patients occurred muscle pain or patients occurred urinary retention.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yaling Guo, Master | Contact | 15622327162 | 1106561876@qq.com | |
| Yuqing Chen, Chief | Contact | 13724067575 | fangchenyq@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Yuqing Chen, Chief | First Affiliated Hospital, Sun Yat-Sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the First Affiliated Hospital of Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | 510000 | China |
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| ID | Term |
|---|---|
| D063806 | Myalgia |
| D006175 | Gynatresia |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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|
|
| Within the first 3 months after surgery |
| Number of Participants With Pregnancy after operation | within three years |
| D059352 | Musculoskeletal Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |