{"title":"Optimal timing of hysteroscopic follow-up to prevent the recurrence of intrauterine adhesions: a retrospective study.","authors":"Shouli Dao, Lijun Zhang, Chunhua Liu, Huafeng Tan, Junqi Yang, Kani Zou, Shubi Wang","doi":"10.1080/01443615.2025.2500970","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intrauterine adhesion (IUA) often recurs after surgery, and hysteroscopic follow-up is essential for early detection. However, the ideal timing for follow-up is uncertain. This study examines how different follow-up timings affect IUA recurrence after surgery.</p><p><strong>Methods: </strong>All patients (142) who received hysteroscopic surgery in our hospital between 1 January 2021 and 31 November 2024 were retrospectively recruited using the convenience sampling method. The patients were retrospectively divided into two groups based on the timing of postoperative hysteroscopic follow-up. Group A (<i>n =</i> 71) underwent a routine follow-up at 3 months postoperatively, whereas Group B (<i>n =</i> 71) had an early follow-up at 14 days, with additional follow-ups after each menstrual cycle for 3 months. The primary outcomes measured were uterine cavity morphology and menstrual improvement 3 months post-surgery. The recovery of uterine cavity morphology and menstrual improvement after 3 months of follow-up were compared between the two groups.</p><p><strong>Results: </strong>There was a significant positive correlation between the recovery of uterine cavity morphology and the number of postoperative hysteroscopies in Group B (<i>r</i> = 0.335, <i>P</i> < 0.001). After 3 months following the operation, the improvement of menstruation (<i>Z</i> = -3.423, <i>P</i> = 0.001) and the recovery of uterine morphology (<i>Z</i> = -3.741, <i>P</i> = 0.001) in Group B were better than those in Group A, and the difference was statistically significant.</p><p><strong>Conclusion: </strong>Early and regular hysteroscopy in patients with IUA undergoing hysteroscopic adhesion separation is effective in restoring uterine cavity morphology, preventing re-adhesion and improving menstruation.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"45 1","pages":"2500970"},"PeriodicalIF":0.9000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obstetrics and Gynaecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01443615.2025.2500970","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/2 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Intrauterine adhesion (IUA) often recurs after surgery, and hysteroscopic follow-up is essential for early detection. However, the ideal timing for follow-up is uncertain. This study examines how different follow-up timings affect IUA recurrence after surgery.
Methods: All patients (142) who received hysteroscopic surgery in our hospital between 1 January 2021 and 31 November 2024 were retrospectively recruited using the convenience sampling method. The patients were retrospectively divided into two groups based on the timing of postoperative hysteroscopic follow-up. Group A (n = 71) underwent a routine follow-up at 3 months postoperatively, whereas Group B (n = 71) had an early follow-up at 14 days, with additional follow-ups after each menstrual cycle for 3 months. The primary outcomes measured were uterine cavity morphology and menstrual improvement 3 months post-surgery. The recovery of uterine cavity morphology and menstrual improvement after 3 months of follow-up were compared between the two groups.
Results: There was a significant positive correlation between the recovery of uterine cavity morphology and the number of postoperative hysteroscopies in Group B (r = 0.335, P < 0.001). After 3 months following the operation, the improvement of menstruation (Z = -3.423, P = 0.001) and the recovery of uterine morphology (Z = -3.741, P = 0.001) in Group B were better than those in Group A, and the difference was statistically significant.
Conclusion: Early and regular hysteroscopy in patients with IUA undergoing hysteroscopic adhesion separation is effective in restoring uterine cavity morphology, preventing re-adhesion and improving menstruation.
背景：宫腔粘连（IUA）经常在手术后复发，宫腔镜随访是早期发现的必要条件。然而，理想的随访时间是不确定的。本研究探讨不同随访时间对术后IUA复发的影响。方法：采用方便抽样方法，回顾性招募2021年1月1日至2024年11月31日在我院行宫腔镜手术的142例患者。根据术后宫腔镜随访时间将患者回顾性分为两组。A组（n = 71）术后3个月进行常规随访，B组（n = 71）术后14天进行早期随访，每个月经周期后进行随访，随访时间为3个月。术后3个月观察子宫腔形态和月经改善情况。比较两组患者随访3个月后子宫腔形态恢复情况及月经改善情况。结果：B组子宫腔形态恢复与术后宫腔镜次数呈显著正相关（r = 0.335, P Z = -3.423, P = 0.001）， B组子宫形态恢复（Z = -3.741, P = 0.001）优于a组，差异有统计学意义。结论：宫腔镜下宫腔粘连分离的IUA患者早期定期宫腔镜检查对恢复宫腔形态、防止再次粘连、改善月经状况有较好的疗效。
期刊介绍：
Journal of Obstetrics and Gynaecology represents an established forum for the entire field of obstetrics and gynaecology, publishing a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews relevant to practice. It also includes occasional supplements on clinical symposia. The journal is read widely by trainees in our specialty and we acknowledge a major role in education in Obstetrics and Gynaecology. Past and present editors have recognized the difficulties that junior doctors encounter in achieving their first publications and spend time advising authors during their initial attempts at submission. The journal continues to attract a world-wide readership thanks to the emphasis on practical applicability and its excellent record of drawing on an international base of authors.
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