Effect of Different Periods of Review on Recurrence and Pregnancy Outcome After Intrauterine Adhesions
WU Xue-wei
Abstract：Objective To investigate the effect of different periods of review on recurrence and pregnancy outcome after intrauterine ad -hesions .Methods Clinical data were derived from 98 patients with TCRA who were diagnosed as IUA .According to the different period of the postoperative hysteroscopy , the research was divided into the study group (49 cases) and the control group (49 cases).The research group was reviewed the first time at 14d after the implementation of the first hysteroscopy , and reviewed 3~5d after each menstrual clean for 3 months;the control group was reviewed once only 3 months after the operation hysteroscopy .The thickness of endometrium , uterine volume and the recovery of menstruation was recorded before and 3 months after operation , and the adhesion of uterine cavity was observed after 3 months.The follow-up period was 3 months ~1 year.Results Before the operation, the thickness and the volume of the uterine volume was not significantly different(P>0.05).After three months operation, the thickness of the endometrium and the uterine volume of the study group were significantly better than those in the control group (P<0.05).There was no significant difference between the two groups before operation ( P>0.05 ) in the volume of menstrual and the usage of sanitary towel , but the difference was significant ( P<0.05 ) three months after operation .The menstrual recovery in the study group was significantly higher than that in the control group ( P<0.01 ) .The data showed that the incidence of IUA in the study group was significantly lower than that in the control group after 3 months operation, and there was significant difference between the two groups (P<0.05).Conclusion For TCRA IUA patients and in the speci-fication of placement of double lumen balloon guide catheter , device ( IUD) and high dose estrogen conditions , combined with early rules of hysteroscopy revealed to discover whether there is the phenomenon of re -adhesion effectively improve the patient of uterine endometrial thickness, uterine volume and menstruation recovery , to alleviate the patient′s condition and improve the patients with pregnancy rate .It has important significance .
Keywords：Different period of reviewIntrauterine adhesionHysteroscopyPregnancy outcome
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 495-497 )