On the clinical treatment of intrauterine adhesions.docVIP

 PAGE \* MERGEFORMAT 6 On the clinical treatment of intrauterine adhesions [Abstract] Objective intrauterine adhesions (IUA) is the major long-term complications of hysteroscopy, intrauterine surgical procedure when a large area of #8203;#8203;destruction of the basal layer of the endometrium, bilateral fallopian tubes and uterus, and the bottom of the mouth of the uterus inadequate endometrial destruction, while merger after infection, it may be secondary to intrauterine adhesions after surgery. its incidence is very low, rarely reported in the literature. [Keywords:] intrauterine adhesions treatment of uterine hemorrhage 1. Cause The uterus is a potential organ compartment, under normal circumstances, anterior and posterior wall close to the adhesion does not occur but, because the endometrium under the action of ovarian hormones, has a strong regenerative capacity, for a small range of intrauterine operation, as long as the basal layer of the endometrium from injury, or even part of the endometrial basal layer damage, while the contralateral intimal layer integrity, did not form the rough surface, the damaged parts of the endometrial regeneration and repair wounds quickly, does not cause adhesion. intrauterine surgical operation when the destruction of a large area of #8203;#8203;the endometrial basal layer, while the bottom of the uterus and fallopian tubes mouth bilateral destruction of the endometrium is not sufficient, while merger after infection, it may continue Development of intrauterine adhesions after surgery. so transcervical resection of endometrium (TCRE) patients and multiple submucosal fibroids transcervical myomectomy (TCRM) prone to intrauterine adhesions after surgery, single submucous myoma The TCRM, TCRP, TCRS after such a rare occurrence of intrauterine adhesions. 2. Clinical manifestations Secondary to intrauterine adhesions after hysteroscopic surgery, patients are manifested as periodic lower abdominal pain, a