Advances in Clinical Diagnosis and Treatment of Intrauterine Adhesions
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v5i1.1782
Abstract
Intrauterine adhesion is a kind of high incidence disease caused by many pathogenic factors, which damages the endometrial basal layer and affects the menstruation and fertility of women. In recent years, due to artificial abortion and other types of increased uterine cavity surgery, the incidence of the disease gradually increased. Hysteroscopy is the main method to diagnose intrauterine adhesion. Combining with ultrasound, it can determine the range and degree of intrauterine adhesion and guide the choice of treatment. But it cannot find small changes in the uterine cavity, and for serious adhesions and endometrial injury in patients, hysteroscopy examination results are not good. Accurate assessment of recurrence risk and individualized diagnosis and treatment are important prerequisites to reduce the high recurrence rate and improve the low pregnancy rate. This article reviews the research on clinical diagnosis and treatment of intrauterine adhesions in order to enhance and improve the understanding of the disease and provide a new clinical thinking.
Keywords
intrauterine adhesion, hysteroscopy, postoperative recurrence diagnosis and treatment
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[4] RIEMMA G, VITALE S G, MANCHANDA R, et al. The role of hysteroscopy in reproductive surgery: Today and tomorrow [J]. Journal of gynecology obstetrics and human reproduction, 2022, 51(4): 102350.
[5] JIANG X, CHEN X, LI J, et al. Clinical application of three-dimensional transvaginal ultrasonography in the diagnosis of intrauterine adhesions [J]. J Int Med Res, 2021, 49(11): 3000605211024520.
[6] ALONSO L, CARUGNO J, NAPPI L. Diagnostic accuracy of hysteroscopy, ultrasound and magnetic resonance imaging in detecting congenital uterine anomalies [J]. Minerva obstetrics and gynecology, 2022, 74(1): 12-23.
[7] DREISLER E, KJER J J. Asherman's syndrome: current perspectives on diagnosis and management [J]. International journal of women's health, 2019, 11: 191-198.
[8] LIU H Y, ZHU Z Y, CHEN X M, et al. A review of the effects of estrogen and epithelial-mesenchymal transformation on intrauterine adhesion and endometriosis [J]. Transplant immunology, 2023, 79: 101679.
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[13] FARHADIHOSSEINABADI B, FARAHANI M, TAYEBI T, et al. Amniotic membrane and its epithelial and mesenchymal stem cells as an appropriate source for skin tissue engineering and regenerative medicine [J]. Artificial Cells, Nanomedicine, and Biotechnology, 2018, 46(sup2): 431-440.
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