Analysis of clinical indicators in 118 patients with intrauterine adhesions

Abstract

Objective To explore the differences of different clinical indicators between patients with severe and non-severe intrauterine adhesions （IUA）. Methods Clinical data of 118 patients with IUA diagnosed by hysteroscopy were analyzed retrospectively. According to the AFS scoring standard of IUA, all patients were divided into the severe IUA group （severe group） and mild-moderate IUA group （non-severe group）, and the differences of different clinical indicators between two groups were analyzed. Results Compared with the patients in the non-severe group, the patients in the severe group had more pregnancies, more than two times of uterine curettage, and more times of hysteroscopic resection （all P < 0.05）. There were statistically significant differences between the severe and non-severe groups after induced abortion, hysteroscopic resection, and uterine artery embolization combined with curettage （all P < 0.05）. Among the patients undergoing different times of uterine cavity operations, the difference between the severe and non-severe groups was statistically significant. Compared with the 1-time and 2-time uterine cavity operation groups, the proportion of severe group （85%） in the ≥3-time uterine cavity operation was significantly increased （both P < 0.05）. In the severe group, the proportion of abnormal uterine cavity （heterogenous echoes, continuous interruption, unclear display or adhesion） revealed by transvaginal color Doppler ultrasound was significantly higher than that in the non-severe group （P < 0.05）. Conclusions Induced abortion, hysteroscopic electrosurgery and uterine curettage after uterine artery embolization can increase the risk of IUA. Transvaginal color Doppler ultrasound has good diagnostic value for severe IUA.

Keywords

• |intrauterine adhesion|hysteroscope|artificial abortion|hysteroscopic electrotomy|uterine artery embolization