作者
Miriam MF Hanstede, Eva Van Der Meij, Laurien Goedemans, Mark Hans Emanuel
发表日期
2015/12/1
期刊
Fertility and Sterility
卷号
104
期号
6
页码范围
1561-1568. e1
出版商
Elsevier
简介
Objective
To study the success rate of hysteroscopic adhesiolysis and the spontaneous recurrence rate of intrauterine adhesions (IUAs) in patients with Asherman syndrome.
Design
Cohort study.
Setting
University-affiliated hospitals.
Patient(s)
A total of 638 women with Asherman syndrome were included, all diagnosed using hysteroscopy, and operated on between 2003 and 2013.
Intervention(s)
Hysteroscopic adhesiolysis.
Main Outcome Measure(s)
Hysteroscopic adhesiolysis was classified as successful if a normalization of menstrual blood flow occurred, along with a restored, healthy, cavity anatomy, free of adhesions, with hysteroscopic visualization of ≥1 tubal ostium. Recurrences of adhesions were diagnosed using hysteroscopy after an initial successful procedure.
Result(s)
A first-trimester procedure preceded Asherman syndrome in 371 women (58.2%) and caused adhesions of grades 1–2A. In 243 (38.1 …
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