宫腔粘连分离术中应用微型剪的效果评估

doi:10.3969/j.issn.2095-9400.2019.01.012

Abstract
Figure/Table
References (0)
Related Citation (7)

Download: PDF (1285 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To compare the effectiveness of micro-scissor with electric-loop in hysteroscopic adhesiolysis for moderate- to severe-intrauterine adhesion women with fertility intention. Methods: In this study, 82 women from Zhejiang Provincial People’s Hospital during September 2014 to December 2016 underwent hysteroscopic division procedure were allocated to micro-scissor group (n=39) and electric-loop group (n=43). Oral estrogen was administered to promote endometrial regeneration at operation period mense day 3, and an IUD was inserted after operation to prevent adhesion reformation. A second look hysteroscopic was performed in all cases, and the effect of hysteroscopic adhesiolysis was scored by the American Fertility Society Classification system (AFS). Pregnant outcome, including natural and assisted reproductive pregnancy, was also followed up for one year after operation. Results: At the second look, there was no significant difference in the post-operative recovery of uterine shape between two groups. However, the recovery of menstruation was significantly better in the micro-scissor group than the electric loop group. In addition, the pregnancy rate in the micro-scissor group was 43.6%, which was also higher than 37.2% in the electric loop group. Conclusion: Using micro-scissor or electric-loop in hysteroscopic adhesiolysis could improve uterine morphology and menstrual pattern to a certain extent. Treatment with micro-scissor may be a good try in women with fertility intention.

Key words： intrauterine adhesions micro-scissor electric-loop hysteroscopes

	Service
	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	FU Xiaohua
	JI Mengxia
	SHU Jing

URL:

https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2019.01.012 OR https://xb.wmu.edu.cn/EN/Y2019/V49/I1/52

[1] DEANS R, ABBOTT J. Review of intrauterine adhesions[J]. J Minim Invasive Gynecol, 2010, 17(5): 555-569.
[2] MARCH C M, ISRAEL R, MARCH A D. Hysteroscopic management of intrauterine adhesions[J]. Am J Obstet Gynecol, 1978, 130(6): 653-657.
[3] PABUCCU R, ONALAN G, KAYA C, et al. Efficiency and pregnancy outcome of serial intrauterine device-guided hysteroscopic adhesiolysis of intrauterine synechiae[J]. Fertil Steril, 2008, 90(5): 1973-1977.
[4] THOMSON A J, ABBOTT J A, KINGSTON A, et al. Fluoroscopically guided synechiolysis for patients with Asherman's syndrome: menstrual and fertility outcomes[J]. Fertil Steril, 2007, 87(2): 405-410.
[5] LIN X N, ZHOU F, WEI M L, et al. Randomized, controlled trial comparing the efficacy of intrauterine balloon and intrauterine contraceptive device in the prevention of adhesion reformation after hysteroscopic adhesiolysis[J]. Fertil Steril, 2015, 104(1): 235-240.
[6] XIAO S, WAN Y, XUE M, et al. Etiology, treatment, and reproductive prognosis of women with moderate-to-severe intrauterine adhesions[J]. Int J Gynaecol Obstet, 2014, 125(2): 121-124.
[7] The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions[J]. Fertil Steril, 1988, 49(6): 944-955.
[8] YU D, WONG Y M, CHEONG Y, et al. Asherman syndrome-one century later[J]. Fertil Steril, 2008, 89(4): 759-779.
[9] REIN D T, SCHMIDT T, HESS A P, et al. Hysteroscopic management of residual trophoblastic tissue is superior to ultrasound-guided curettage[J]. J Minim Invasive Gynecol, 2011, 18(6): 774-778.
[10] DEANS R, ABBOTT J. Review of intrauterine adhesions[J]. J Minim Invasive Gynecol, 2010, 17(5): 555-569.
[11] Sugimoto O. Diagnostic and therapeutic hysteroscopy for traumatic intrauterineadhesions[J]. Am J Obstet Gynecol, 1978, 131(5): 539-547.
[12] YU D, LI T C, XIA E, et al. Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman's syn-drome[J]. Fertil Steril, 2008, 89(3): 715-722.
[13] 张玲, 张李钱, 高琳, 等. 羊膜移植在宫腔镜下宫腔粘连分离术术后预防宫腔粘连的相关研究[J]. 温州医科大学学报, 2016, 46(6): 433-437.
[14] FARHI J, WEISSMAN A, STEINFELD Z, et al. Estradiol supplementation during the luteal phase may improve the pregnancy rate in patients undergoing in vitro fertilization-embryo transfer cycles[J]. Fertil Steril, 2000, 73(4): 761-766.