Journal of International Obstetrics and Gynecology ›› 2017, Vol. 44 ›› Issue (5): 576-580.

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Research Progress in the Prevention Method of Intrauterine Adhesion

CHEN Kun-ju,SHI Xiao-rong,DAI Xiao-qin   

  1. The First Clinical Medical College of Shanxi Medical University,Taiyuan 030001,China
  • Received:2017-06-26 Revised:2017-08-03 Published:2017-10-15 Online:2017-10-25
  • Contact: SHI Xiao-rong,E-mail:sxrglj123456888@163.com E-mail:729416316@qq.com

Abstract: Intrauterine adhesion (IUA) is one of the common causes of infertility gynecological diseases, which dose serious harm to the reproductive function and mental health of women who are childbearing age, and the main reason is pregnancy uterine cavity operation. The incidences rate increases with the increase in intrauterine operation. Hysteroscopy is the diagnostic criteria, and transcervical resection of uterine adhesions (TCRA) is the standard surgical procedure. The mild intrauterine adhesions treatment effect is good, but the recurrence rate of moderate intrauterine adhesions and severe intrauterine adhesions are high. There are many methods to prevent IUA, prophylactic use of antibiotics, oral estrogen, intrauterine injection of sodium hyaluronate, placement of intrauterine device or balloon stent, etc. but there is no uniform standard. It is always using TCRA+anti-adhesion material+artificial cycle of comprehensive treatment program to treat intrauterine, and the effect is better than hysteroscopic uterine cavity adhesion.

Key words: Intrauterine adhesion, Hysteroscopy, Diagnosis, Therapy