The Journal of the American Association of Gynecologic Laparoscopists · 2002
Intrauterine adhesions after conservative and surgical management of spontaneous abortion.
Клиническое исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Tam Wing Hung, Lau Woon Chung, Cheung Lai Ping, Yuen Pong Mo, Chung Tony Kwok-Hung
Аннотация
STUDY OBJECTIVE: To determine the frequency of intrauterine adhesions (IUA) after conservative management, medical evacuation, and surgical evacuation for spontaneous abortion.
DESIGN: Prospective follow-up study (Canadian Task Force classification II-2).
SETTING: Gynecology unit in a teaching hospital.
PATIENTS: Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial.
MEASUREMENTS AND MAIN RESULTS: Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method.
CONCLUSION: The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation.
DESIGN: Prospective follow-up study (Canadian Task Force classification II-2).
SETTING: Gynecology unit in a teaching hospital.
PATIENTS: Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial.
MEASUREMENTS AND MAIN RESULTS: Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method.
CONCLUSION: The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation.