Hysteroscope As The Diagnostic Approach And Treatment For Intrauterine Adhesions: A Clinical Analysis Of 77 Cases

Objective: Study and analyze the clinical features of Intrauterine Adhesion(sIUA), assess the efficacy of hysteroscopy surgery,and provide basis for effective prevention and treatment.Methods: Retrospectively analyzing the records of 77 patients with IUA diagnosed by hysteroscopy during April 2007 ~ September 2009 in the First Affiliated Hospital of Chongqing Medical University. The patients were treated by hysteroscopy surgery (trans cervical resection of adhesions, TCRA), immediately set a metal "O"-shaped IUD into the uterus, accepted estrogen-progestin therapy for three months, and then had hysteroscopy again to assess the effect. At last, the patients were telephoned at October 11~12, 2010 to follow-up visit the catamenia and pregnancy.Results: The main clinical manifestations of intrauterine adhesions was menstrual changes (84.42%), intrauterine operation (mainly about abortion and curettage) accounted for 84.42% related to IUA, the number of times of intrauterine operations were not related to preoperative indexing. Three months later, the clinical evaluation of hysteroscopy surgery was 66.24% cases had became normal, the cure rate of IUA showed that degree II was significantly higher than degree III-V. The telephone follow-up visit reported the percents of the cases whose menstrual flow returning to normal was 25.71%, and the pregnancy rate reached 23.53% .Conclusion: Hysteroscopy surgery (TCRA) is an effective method for the treatment of IUA, and reducing abortion, regulating the surgical procedures are fundamental measures to prevent intrauterine adhesions.