Writing | Wang Xiao
Grand -Gao Shihua
The picture comes from the Internet
How difficult is it to have a child?For most lucky people, it may be just pregnant in October. The pain of childbirth is too difficult for most of our patients.After many patients have experienced the pain and blows of abortion surgery many times, when they have the courage to prepare for pregnancy again, they may find that their menstrual flow is reduced and pregnancy is always failed.Strange diagnosis: Perhaps the uterine cavity adhesion.
What is the uterine cavity adhesion?Will it impact pragnancy?Can you treat it?A series of questions smashed, don’t worry, we will introduce it in detail for everyone.
Treatment of uterine cavity adhesion
The goal of uterine cavity adhesion is to restore the normal volume of the uterine cavity, rebuild the normal form of the uterine cavity and cervical tubes, prevent re -adhesion formation, promote endometrial regeneration repair, restore fertility, and ensure normal menstruation and fertilized eggs in bed.Solve related symptoms and clinical problems (including reduced menstrual flow, pain, infertility, abortion, etc.).
Mainly hysteroscopy, expectation of treatment, cervical expansion, and curettage.
At present, hysteroscopic surgery is a standard technique for the treatment of uterine cavity adhesions. It not only avoids the blindness and incompleteness of traditional uterine detection, expansion operation and treatment, but also avoids damage to the endometrium of the uterine cavity.Surgical efficacy and safety.
Hysteroscopy can clarify the scope and nature of the adhesive part, as well as the state of the uterine angle and the fallopian tube opening state to avoid the blindness of surgical operations, reduce the risk of damage, and improve the treatment effect and surgical safety.
The principle of hysteroscopic uterine adhesion is: separation and resection of scar tissue, restore the formal dissection of the uterine cavity, and effectively protect the residual endometrium.Effective protection of the endometrium of the residual uterine is a link that cannot be ignored in the uterine adhesion and separation surgery (the area of the residual uterine endometrium depends on the degree of adhesion and the adhesion gradient), which directly affects the surgical effect.
NO.2 cervical expansion
Cervical stenosis with no damage to the uterine cavity and endometrium can be treated with ultrasonic guidance (or no ultrasound guidance).The current use of this technology is very limited.
NO.3 Looking forward to treatment
At present, the research of limited support expectations was published in 1982. Data indicates that as many as 78%of patients can recover menstruation within 7 years, and 45.5%of patients can get pregnant within 7 years.
House scraping is the most commonly used treatment method before hysteroscopy. Some reports show that about 84%of patients can restore normal menstruation.
However, after the emergence of hysteroscopy, due to the possibility of further damage to the endometrium, curettage is no longer the best means to diagnose the treatment of uterine cavity adhesion.
NO.5 Other uterine laparoscopic surgery
When the classic hysteroscopy technology or uterine laparoscopic technology cannot be used, it can be combined with some other uterine laparoscopic technology.
● If the uterine cavity is very serious, you can use a COLINS electric knife to expand the uterine cavity.
● Under the guidance of uterine hysteroscopic guidance, Touhy is used to severely decomposes with severe uterine cavity under perspective guidance, but its price is expensive, and it will expose patients under the ionization radiation.
● The abdominal ultrasound can be used to guide the uterine adhesion of the uterine cavity in the uterine lens. In addition to auxiliary guidance, it can also check other organs of the pelvic cavity at the same time.
● Under the guidance of laparoscopic laparoscopy for loosening, but due to limited data and high incidence of complications, it is not recommended.
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