Secondary Prevention of Intrauterine Adhesions Following Hysteroscopic Surgery in Women With Asherman Syndrome: Is Something Better Than Nothing?

A. S. Kelley, E. Giuliani, S. Schon
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Abstract

Asherman syndrome is a reproductive disorder characterized by intrauterine adhesions and amenorrhea, infertility, abnormal placentation, or pregnancy loss. Treatment of Asherman syndrome involves hysteroscopic lysis of adhesions. Many surgeons utilize postoperative measures such as hormone therapy, solid mechanical devices, or barrier gels to prevent recurrent adhesions in this setting. However, there is limited high-quality evidence to support their use. Additional research is needed on the safety and efficacy of these commonly used methods to guide patient care.
阿什曼综合征宫腔镜手术后宫腔粘连的二级预防:有总比没有好吗?
Asherman综合征是一种以宫腔粘连、闭经、不孕症、胎盘异常或妊娠丢失为特征的生殖障碍。治疗Asherman综合征包括宫腔镜下的粘连松解。许多外科医生使用术后措施,如激素治疗、固体机械装置或屏障凝胶来防止这种情况下复发性粘连。然而,支持其使用的高质量证据有限。需要对这些常用方法的安全性和有效性进行进一步的研究,以指导患者护理。
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