Hysteroscopic treatment of intrauterine adhesion: Clinical analysis of 32 cases / 中国微创外科杂志

ABSTRACT

Objective To evaluate the efficacy of hysteroscopic adhesiolysis for intrauterine adhesion. Methods Thirty-two patients with intrauterine adhesions underwent hysteroscopic adhesiolysis between January 2001 and December 2003. Results In the 14 patients with stage Ⅰ or Ⅱ adhesions, the uterine cavity regained normal status after surgery. Among the 9 patients with stage Ⅲ adhesions, the oviductal orifice of the diseased side could be exposed in 6 patients. Of the 9 patients with stage Ⅳ or Ⅴ adhesions, the uterine cavity was dissected to normal configuration but the oviductal orifice was not exposed in 5 patients, and perforation of uterus occurred in 1 patient, who later received a laparoscopic repair and recovered uneventfully. No complications such as overhydration or postoperative infection took place. Out of 27 patients with abnormal menstruation, a regular menses was obtained in 25 patients (92.6%) postoperatively, and amenorrhea remained in 2 (7.4%). The periodic abdominal pain of 12 patients was relieved after operation. The postoperative pregnancy rate was 42.9% (6/14). Conclusions Hysteroscopic adhesiolysis is a safe and effective option for women with intrauterine adhesion.