Journal of International Obstetrics and Gynecology ›› 2021, Vol. 48 ›› Issue (2): 224-229.doi: 10.12280/gjfckx.20200820

• Gynecological Disease & Related Research Review • Previous Articles     Next Articles

Advances in the Clinical Etiology, Diagnosis and Therapy of Intrauterine Adhesions

XU Qian, WANG Yi-yi, ZANG Chun-yi()   

  1. Gynecologic Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China
  • Received:2020-09-04 Published:2021-04-15 Online:2021-04-16
  • Contact: ZANG Chun-yi E-mail:zangcy@ccmu.edu.cn

Abstract:

Intrauterine adhesion(IUA) is an endometrial injury disease caused by various pathogenic factors, which seriously affects female genital health and reproductive function. Intrauterine operation during pregnancy is the main cause of IUA. Furthermore, intrauterine infection and less perfusion of endometrial blood flow may also be closely related to the onset and progress of the disease. Hysteroscopy is the gold standard for clinical diagnosis and treatment of IUA. Transcervical resection of adhesion is currently an effective method to deal with IUA. Postoperative adjuvant treatment is used to prevent adhesion recurrence, but there is no consensus on the best diagnosis and treatment plan for this disease. This article reviews the clinical etiology, diagnosis and therapy of IUA, aiming at providing further evidence for its early detection and prevention, precise diagnosis and timely treatment, so as to avoid severe damage to the uterine endometrium, and provides a reference for clinical decision-making.

Key words: Uterus, Tissue adhesions, Diagnosis, Therapy, Risk factors