Intrauterine adhesions (IUA) refer to the mutual adhesions of the uterine wall caused by endometrial damage due to various reasons. The clinical manifestations include symptoms such as decreased menstruation or amenorrhea, abdominal pain and infertility, especially infertility, which brings great pain to patients. More than 90% of intrauterine adhesions are caused by curettage. In recent years, the incidence of IUA has increased due to the increase in the rates of artificial abortion and medical abortion. In the past 20 years, with the continuous development of hysteroscopic technology, the diagnosis and treatment of intrauterine adhesions have made a qualitative breakthrough. Transcervical resection of adhesion (TCRA) has become the standard procedure for the treatment of intrauterine adhesions. A successful operation can restore normal menstruation in patients and improve pregnancy outcomes. The prevention and treatment of re-adhesion after separation of moderate to severe intrauterine adhesions has always been a difficult problem that has plagued clinical practice. The traditional prevention and treatment methods currently used at home and abroad are not effective, resulting in a high incidence of re-adhesion after separation of moderate to severe intrauterine adhesions of 48% to 62%. Many patients need to undergo another operation, and even 3-4 intrauterine adhesion separations have not achieved the desired effect, causing great mental pain and economic burden to patients. It is urgent to seek a more effective and reasonable method to prevent re-adhesion after separation of moderate to severe intrauterine adhesions. The prevention and treatment of re-adhesion after separation of moderate to severe intrauterine adhesions has always been a difficult problem that has plagued clinical practice. The traditional prevention and treatment methods currently used at home and abroad are not effective, resulting in a high incidence of re-adhesion after separation of moderate to severe intrauterine adhesions of 48% to 62%. Many patients need to undergo another operation, and even 3-4 intrauterine adhesion separations have not achieved the desired effect, causing great mental pain and economic burden to patients. It is urgent to seek a more effective and reasonable method to prevent re-adhesion after separation of moderate to severe intrauterine adhesions. After summarizing the diagnosis and treatment of a large number of patients with intrauterine adhesions, we found a reasonable and effective method to prevent re-adhesion after intrauterine adhesion separation surgery. After more than one year of clinical application, the cure rate of moderate to severe intrauterine adhesions has been greatly improved, and many infertile patients have lovely babies. Although the treatment of moderate to severe intrauterine adhesions is somewhat difficult, it is not difficult to cure as long as the treatment is scientific and reasonable. We hope that patients will not have too much mental burden. |
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