Hystech adhesion is a common gynecological disease that can lead to complications such as irregular menstruation, infertility, and habitual abortion, which seriously harms the physical and mental health of women.
Note: Any factors that cause endometrial destruction can cause uterine cavity adhesion.
The uterine cavity operation includes uterine cavity operations during pregnancy: artificial abortion, drug abortion clearing palace, medium -term induction of labor, postpartum curettage, and Portugal Palace Clear Palace.Non -pregnancy uterine cavity operation: diagnosis of uterine sculpture, uterine lapsea uterine fibroid division, uterine endometrial polypoxarization, etc.The uterine cavity adhesion is mainly caused by endometrial injury, such as endometrial injury caused by abortion or curettage, or infection with certain factors. The more common cause is multiple history history.
Damage to the uterine cavity of pregnancy: negative pressure suction of uterine cavity surgery, gestational pliers curettage, pregnancy -induced hemorrhage curetage and pregnancy residues.Non -pregnancy uterine endometrial damage: uterine fibroid division (intrauterine), subcarmomoscular fibroid division, hypertrophy uterine resection, etc.Inflammation factors: intrauterine infection, uterine tuberculosis, endometritis, postoperative infection, puerperium infection, etc.Flowing infection: If the palace is repeated, it is easy to damage the base layer, causing traumatic adhesion, which is the most common. Therefore, women of childbearing age should take good contraceptive measures to avoid abortion, especially abortion may cause adhesion after secondary infertility.
Although some sisters can still get pregnant normally after three, four, or even five times, some sisters have a significant menstrual flow after a flow, even amenorrhea, or uterine cavity adhesion.These situations will have a certain impact on pregnancy.
In the early days of menstrual flow, you can choose to try some drugs when diagnosis of uterine cavity adhesions.You can also try traditional Chinese medicine for treatment. At the same time, combined with acupuncture to improve the blood circulation of the endometrium, it is also helpful for the recovery of menstruation.
If there is no significant improvement, further diagnosis is needed. At present, the gold standard of uterine cavity adhesion is hysteroscopy.Hysteroscopy enters the uterine cavity through micro lens to observe the uterine environment to determine the location and degree of the uterine cavity adhesion.
If the degree of adhesion is light or light to moderate, it can be solved directly under the uterine lens.For patients with severe adhesion, hysteroscopic surgery may be required.After the first adhesion and rupture, some drugs need to be used for sequential treatment, and stents or in -uterine -savings are placed in the uterine cavity to place them on biological anti -adhesion materials.
Some sisters can restore the normal menstrual cycle after adhesion and decomposition of the uterine cavity, but among patients with severe uterine cavity adhesion, after decomposition, the adhesion may occur again, and the pregnancy success rate will be significantly reduced.
In order to reduce the occurrence of uterine cavity adhesion, we need to avoid some unnecessary uterine cavity surgery. When you have no fertility requirements, we must pay attention to contraception so that we can create a good uterine environment for future pregnancy!
Repeated abortion, infertility, infertility, chronic pelvic pain, no clinical symptoms, and patients with no fertility requirements can be observed without treatment.H a hysteroscopy requires pain, menstrual abnormalities (including accumulation of abdominal cavity), or fertility -related problems.Infertility, multiple abortion, especially those who have excluded other fertility problems can accept hysteroscopy diagnosis.
Treatment principles: comprehensively separate adhesions to restore the normal size and form of the uterine cavity; restore anatomical structure, expose the uterine angle and tubal mouth, and reduce the damage to the endometrium of the residual uterine.Multiple surgery is required; postoperative assisted treatment promotes the repair of endometrium, restores menstruation and reproductive functions; prevents the occurrence of adhesion.
It is not difficult to adhere to the above principles that the uterine recovery of the uterus in the uterine lapsea is not difficult to restore the form of normal or roughly normal uterine cavity, further restore menstruation, prevent re -adhesion, promote endometrial repair and proliferation, and improve the pregnancy rate.
